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題 名 | 直升機運送病人之研究=An Analysis of Patients Transport via Helicopter |
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作 者 | 胡勝川; 顏鴻章; 江錦玲; 施美秀; 高偉峰; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 3:3 2001.09[民90.09] |
頁 次 | 頁1-8 |
分類號 | 419.53 |
關鍵詞 | 直升機; 緊急醫療救護; 空中後送; Helicopter; Emergency medical services; Air transportation; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:花東地區因地徵阻隔,加上道路容易中斷致陸路運送困難,或因病況危急不適長途的舟車勞累,在在需要以直升機來運送病人。 方法:本研究前瞻性收集自89年1月至12月及回溯性收集89年前自花蓮慈濟醫院使用直升機後送的個案,以瞭解直升機運送病人的數量、診斷、原因,及自慈濟升格為醫學中心後以直升機運送病人的數量、 診斷及原因的變化情形。 結果:回顧性統計民國86年初至89年底4年間的19個案例,發現自申請至起飛平均所需時間為3小時36分,而灌用直升機的個案佔7例(36.8%),申請直升機後送的原因有8例(42.1%)為無轉院病人所需之次專科醫師,7例(36.8%)應家屬要求,3例(15.8%)醫師不願或無法做特定的治療,1例(5.3%)無治療所需之藥。學理上的確需以直升機轉院的12個例中,最常見的診斷是小兒先天性心臟病的4例(33.3%),其次是主動脈剝離之3例(25%);所屬的醫療科別中,最常見的是小兒心臟科的5例(41.7%),其次是心臟外科的3例(25.0%)及小兒外科的2例(16.7%)。 結論:花蓮慈濟醫院升為醫學中心的前後一年間,以直升機後送的數量、診斷及原因並無改變,然因個案數太少無法做結論,長時間的追蹤比較是必需的。 |
英文摘要 | Background: Owing to the geographic block caused by poor weather, it is needed to use helicopter to transport emergency patients to Taipei metropolis. Methods: Patient transported via helicopter was conducted prospectively form January 1, 2000 through December 31, 2000, as well as a retrospective reviewing data of patients using helicopter as a transportation tool before year 2000 also conducted. Results: Of 19 case collected, 7(36.8%) were abuse. The average time spent for applying the helicopter was 3 hours and 36 minutes. The most common reason for using helicopter was no specialist to treat patient (8/19; 42.1%), followed by family asking (7/19; 36.8%), doctor’s attitude (3/19; 15.8%), and no regimen (1/19; 5.3%). The most common diagnosis among the non-abuse cases was congenital heart disease (4/12; 33.3%), followed by aortic dissecting (3/12; 25%). Among those who were not abuse the medical specialty they belonged to were pediatric cardiology (5/12; 41.7%), cardiovascular surgery (3/12; 25.0%), pediatric surgery (2/12; 16.7%). Conclusions: We concluded that there is no change regarding the amount of patients transported and the reason for that via helicopter before and after upgrading of this hospital to medical center. |
本系統中英文摘要資訊取自各篇刊載內容。