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西藏超高海拔地区外科住院患者疾病特征分析 |
申锋1, 孙湛2, 锁涛3, 土旦次仁4, 陈可峰5, 李敏3
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1.复旦大学附属中山医院肿瘤内科, 上海 200032;2.复旦大学附属中山医院急诊内科, 上海 200032;3.复旦大学附属中山医院普通外科, 上海 200032;4.西藏自治区岗巴县人民医院外科, 西藏 857700;5.西藏自治区岗巴县卫健委, 西藏 857700
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摘要: |
目的: 分析超高海拔地区外科住院患者的疾病特点。方法: 收集西藏自治区岗巴县人民医院2016年11月至2019年9月的外科住院患者临床资料进行统计分析。结果: 共收集住院患者77例,男性44例,女性33例,男女比例1.33:1,平均年龄为(36.82±19.30)岁,排名前10位的疾病依次为:急慢性阑尾炎、骨折及外伤、胆囊结石及胆囊炎、浅表肿物、术后切口感染、腹股沟疝、热烧伤及电烧伤、肠梗阻、骨关节炎、多指畸形。住院患者中接受手术治疗的有35例(45.45%),手术组患者治愈率100%,保守治疗组患者治愈率83.33%,手术组治愈率明显高于保守组,组间差异有统计学意义(P<0.05)。手术患者的术后平均住院时间为(11.46±5.48)d。7例患者出现术后并发症(20.00%)。结论: 超高海拔地区患者平均就诊时间较晚,手术意愿较低,术后切口感染率较高,需做好急慢性阑尾炎等10种外科疾病的防治及宣传工作,加强医护人员无菌操作的培训。 |
关键词: 超高海拔 外科 住院患者 疾病 |
DOI:10.12025/j.issn.1008-6358.2020.20192185 |
分类号:R856.6 |
基金项目:国家自然科学基金(81600630,81872352),上海市科委生物医药领域项目(16411952000),徐汇区医学尖峰项目(SHXH201703). |
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Characteristics analysis of surgical inpatient diseases in the ultra-high altitude area of Tibet |
SHEN Feng1, SUN Zhan2, SUO Tao3, TUDAN Ci-ren4, CHEN Ke-feng5, LI Min3
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1.Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, China;2.Department of Emergency Internal Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China;3.Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China;4.Department of Surgery, People's Hospital of Gangba County, Tibet 857700, China;5.Health Commission of Gangba County, Tibet 857700, China
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Abstract: |
Objective: To study the characteristics of surgical inpatient in the ultra-high altitude area. Methods: The clinical data of surgical inpatients from November 2016 to September 2019 in Gangba County People's Hospital of Tibet were collected for statistical analysis. Results: A total of 77 hospitalized patients were collected, with 44 males and 33 females. The ratio of male to female was 1.33:1. The average age of hospitalization was (36.82±19.30) years. The top 10 diseases were acute and chronic appendicitis, fractures and trauma, gallbladder stones and cholecystitis, superficial lesions, postoperative incision infection, inguinal hernia, thermal and electrical burns, intestinal obstruction, osteoarthritis, and polydactyly. Among the hospitalized patients, 35 cases (45.45%) underwent surgical treatment, the cure rate was 100% in surgical patients and 83.33% in conservatively treated patients. The cure rate in the surgical group was significantly higher than that in the conservative group. The difference between the groups was statistically significant (P<0.05). The average postoperative hospital stay was (11.46±5.48) days. Postoperative complications occurred in 7 patients (20.00%). Conclusions: The average visit time of patients in ultra-high altitude areas is relatively late, the willingness to undergo the operation is low, and the incidence of postoperative incision infection is high. It is necessary to do a good job in the prevention and promotion of these 10 surgical diseases and to strengthen the training of aseptic operations for medical staff. |
Key words: ultra-high altitude surgery department inpatients disease |