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Characteristics analysis of surgical inpatient diseases in the ultra-high altitude area of Tibet
Received:December 01, 2019  Revised:January 15, 2020  Click here to download the full text
Citation of this paper:SHEN Feng,SUN Zhan,SUO Tao,TUDAN Ci-ren,CHEN Ke-feng,LI Min.Characteristics analysis of surgical inpatient diseases in the ultra-high altitude area of Tibet[J].Chinese Journal of Clinical Medicine,2020,27(2):285-288
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Author NameAffiliationE-mail
SHEN Feng Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
SUN Zhan Department of Emergency Internal Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
SUO Tao Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
TUDAN Ci-ren Department of Surgery, People's Hospital of Gangba County, Tibet 857700, China  
CHEN Ke-feng Health Commission of Gangba County, Tibet 857700, China  
LI Min Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China li.min2@zs-hospital.sh.cn 
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.
keywords:ultra-high altitude  surgery department  inpatients  disease
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