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本文采用前瞻性方法研究了100例外科/创伤病人在医院内运送的结果,并将其与重症监护病房(ICU)的病人进行1:1配比。两组病人的APACHEⅡ评分分别为23±6与20±8,在两组病人的运送过程中,均连续监测心电图、心率、血压和血氧饱和度。本文同样确定了这些病人因需做诊断性检查,实施医院内运送的费用及检查结果。本文结果提示,病人在医院内运送过程中时常发生生理学变化,但住在ICU的病人也常发生类似情况。若在运送过程中,备有适当的监测和辅助换气,那么,在其转运检查过程中的危险性,并不大于不搬动的危重病人。实际上,在运送检查中的61%病人,并不会因诊断检查结果而改变治疗方法,因此,应当权衡转送的利与弊。
This article used a prospective method to study the results of 100 surgical/trauma patients in the hospital, and compared them with intensive care unit (ICU) patients. The APACHE II scores of the two groups were 23±6 and 20±8, respectively. Electrocardiogram, heart rate, blood pressure, and oxygen saturation were continuously monitored during the delivery of both groups of patients. This article also confirmed the need for these patients to carry out diagnostic tests, the implementation of hospital delivery costs and inspection results. The results of this paper suggest that physiological changes often occur during the delivery of patients in the hospital, but similar cases occur in patients who live in the ICU. If proper monitoring and auxiliary ventilation are provided during the transportation process, the danger in the transit inspection process is not greater than that of the critical patient who is not moving. In fact, 61% of the patients in the delivery check will not change the treatment method due to the results of the diagnostic tests. Therefore, the advantages and disadvantages of the transfer should be weighed.