四川大学华西医院内分泌代谢科总住院医师会诊工作情况分析
Retrospective analysis of chief residents' consultation in Department of Endocrinology and Metabolism in West China Hospital of Sichuan University
谭惠文1
作者信息
- 1. 四川大学华西医院内分泌代谢科 成都610041
- 折叠
摘要
目的 分析四川大学华西医院内分泌代谢科总住院医师院内和院际会诊病例构成情况,总结会诊内分泌代谢专科疾病在其他各专业科室的分布特点,以有助于总住院医师日常工作优化安排和内分泌代谢专科医师培养.方法 纳入2012年7月1日-2013年6月30日由内分泌代谢科总住院医师完成的1 299份会诊病例,回顾性分析会诊申请科室分布、病例的构成及分布特点.总结会诊的内分泌代谢疾病谱特点并比较不同科室对内分泌代谢会诊的需求差异.结果 1 299例会诊病例中,男612例(47.11％),女687例(52.89％);年龄14～ 96岁,中位年龄56.3岁;院际会诊747例(57.51％),院内会诊552例(42.49％).急会诊患者请会诊理由以糖尿病合并手术、外伤后应激性血糖升高为主,其次是甲状腺疾病及电解质紊乱等问题.申请会诊的科室以急诊科为主,会诊目的主要为血糖控制.外科和妇科会诊主要目的是合并糖尿病、甲状腺疾病等内分泌代谢疾病的患者围手术期评估及治疗调整,产科会诊目的主要为甲状腺功能亢进症合并妊娠、妊娠糖尿病的治疗和围手术期血糖的控制.结论 临床会诊工作存在诸多挑战,为总住院医师学习和巩固专业知识及积累临床经验提供了良好的机会.总住院医师应了解会诊病例的构成及分布特点,尽可能为日常工作进行优化安排,在临床会诊中不断总结经验,提高自身诊疗水平.
Abstract
Objective To analyze the proportions of interhospital and intrahospital consultation cases of chief residents in the Department of Endocrinology and Metabolism in West China Hospital of Sichuan University,and summarize the distribution characteristics of endocrine and metabolic diseases in other specialized departments,in order to promote the routine work optimization and the cultivation of specialists in endocrinology and metabolism.Methods A total of 1 299 cases were completed by the chief residents in the Department of Endocrinology and Metabolism between July 2012 and June 2013.Distribution of departments,composition and distribution of consultation cases were analyzed retrospectively.The characteristics of endocrine and metabolic diseases were summarized,and the difference of endocrine and metabolic consultation demand was compared among different departments.Results Among the 1 299 consultation patients,there were 612 males (47.11％) and 687 females (52.89％) aged between 14 and 96 years averaging at 56.3.There were 747 (57.51％) interhospital consultation cases and 552 (42.49％) intrahospital consultation cases.The most common reason for emergency consultation was stress hyperglycemia in diabetic patients after surgery or trauma,followed by thyroid diseases and electrolyte disturbances.Most consultation applications were from the Emergency Department,and the consultation purpose was mainly blood glucose control.The main consultation purpose of surgical and gynecologic departments was perioperative assessment and treatment adjustment in patients combined with endocrine diseases such as diabetes and thyroid diseases.Meanwhile,the purpose of obstetric consultation was mainly treatment for patients with hyperthyroidism complicated with pregnancy,gestational diabetes treatment and perioperative blood glucose control.Conclusions Clinical consultation work is challenging,which also provides an excellent chance for chief residents to study and review professional knowledge and accumulate clinical experiences.Chief residents should have the knowledge of the proportions and distribution of consultation cases in order to optimize daily work.They should also summarize consultation experiences so as to promote their knowledge of diagnosis and treatment.
关键词
总住院医师/会诊制度/内分泌代谢专业/急会诊/院际会诊Key words
Chief resident/Consultation system/Endocrinology and metabolism/Emergency consultation/Interhospital consultation引用本文复制引用
基金项目
国家临床重点专科建设项目(国卫办医函2013544号)
出版年
2017
NETL
NSTL
维普
万方数据