集中治疗室(简称ICU)是集中抢救治疗各种危重病人的单位。当前的ICU:当前的实际情况是,各院分科设置的外科术后ICU、内科的ICU、新生儿的NICU,虽有一定作用,但多已成为各科的重症病室。原本做为地区抢救中心的作用,现只落个名义,在医院的经营管理上,将会成为一种包袱。市立扎悦病院的ICU: 设在急诊部,从1055年6月到1900年12月,共收病人2 607例,由院内转入者433例,占16。6%。收治院外病人占多数,发挥了为地区服务的ICU的作用。ICU病床8张,附设治疗病床24张。在ICU平均住5~6天,在治疗室平均住13天,病情稳定后转科或转院治疗。ICU由专职医师负责,并请有关专科医师会诊,以保证问题能得到及时解决。配备有固定专职医师9名和6到8名进修医师。其中4名为急救专业(曾经麻醉科培训),基本固定。其余成员则由各科医师轮换工作一年。ICU经营管理上的课题. 多数ICU只配经过训练的护士,很少有专职医师,只能由各科的医师抽空来治疗。虽然很多rCU由麻醉科负责管理,因手术麻醉和疼痛门诊业务过忙,只能成为业余工作。几年前,在日本集中治疗医学会上,某院护士曾发出:,’I CU护士的本事就是能在院内找到医师”这样令人庸心的呼唤。现在办得好的ICU,只能奈既能胜任这种兼职业务,义有为抢救重患生命而热情献身的少数医师。作者认为,发挥ICU的作用应从配备专职医师开始。对于ICU的独立发展,还要取得全院的共识。 Concentrated treatment rooms (referred to as ICUs) are units that focus on salvaging and treating various critically ill patients. The current ICU: The current actual situation is that the postoperative ICU, the ICU of internal medicine, and the NICU of neonates set up in the sub-distributaries of the hospitals have a certain role, but they have become serious cases in various subjects. The original role as a regional rescue center is now only a name, and it will become a burden on the management of the hospital. The ICU of the Municipal Zhayue Hospital was set up in the emergency department. From June 1055 to December 1900, a total of 2 607 patients were admitted, and 433 cases were transferred from the hospital, accounting for 16.6%. Hospitalized patients accounted for the majority, playing the role of the ICU serving the region. There are 8 ICU beds and 24 treatment beds. The average ICU stay 5 to 6 days, the average stay in the treatment room for 13 days, after the condition is stable, transfer to or transfer to hospital. The ICU is under the responsibility of a full-time physician and asks the relevant specialist doctors for consultation to ensure that the problem can be resolved in a timely manner. It is staffed with 9 permanent doctors and 6 to 8 fellows. Four of them were first-aid professionals (who used to be trained in anesthesia) and were basically fixed. The rest of the members are rotated by the doctors for one year. ICU Business Management Topics Most ICUs only have trained nurses. There are very few full-time doctors who can only be taken care of by the physicians of each subject. Although many rCUs are managed by the Department of Anesthesiology, because the anesthesia and pain clinics are too busy, they can only be used as part-time work. A few years ago, at the Japan Center for therapeutic treatment, a nurse from a hospital once said: “The ability of an ICU nurse is to find a doctor in the hospital.” This appealing call is now well-managed ICU. The author believes that the role of the ICU should start with the deployment of a full-time physician, and that the independent development of the ICU requires the consensus of the hospital as well.