目的 调查眼科住院总医师1年间院内会诊的疾病构成情况,探讨住院总医师应具备的学科知识维度。方法 回顾性分析1年间眼科住院总医师院内会诊患者的来源科室构成比和所患病种构成比,统计与眼科密切相关的前五位请求眼科会诊科室、会诊患者中所患前五位眼科疾病病种、需要眼科体检的五种特殊会诊情形。结果 在请求会诊的全院25个科室中,与眼科密切相关的前五位科室分别为内分泌科(452例,占20.9%)、耳鼻喉科(296例,占14.5%)、心内科(194例,占9.5%)、神经内科(154例,占7.6%)和老年科(144例,占7.1%)。在会诊明确的32类眼科疾病中,居于前五位的分别是白内障(630例,30.9%)、屈光不正(368例,18.1%)、糖尿病视网膜病变(222例,10.9%)、结膜炎(154例,7.6%)、青光眼和妊高征视网膜病变(各66例,分别占3.2%)。需要眼科体检的5种会诊情况分别为耳鼻喉科术前常规眼科体检(196例,9.6%)、外伤性视神经病变的进一步明确诊断(26例,1.28%)、血液科干细胞移植前的眼科常规体检(22例,1.08%)、阿托品实验前的青光眼排除检查(20例,0.98%)以及角膜K-F环的进一步明确检查(16例,0.79%)。结论 眼科会诊科室分布广泛,涉及眼科疾病种类较多,且部分会诊需要眼科体检。这要求眼科住院总医师遇事镇定,具备对急诊和急症的快速判断以及紧急采取相应措施的能力,拥有与其他科室医师良好沟通的能力,素质全面,并具有独立思考和创新意识
Objective To investigate the ophthalmological consultation diseases in the duration of 1 year ophthalmic chief resident training
to identify the breadth and depth of knowledge an oph-thalmic chief resident should have. Methods A retrospective analysis of ophthalmological consultation patients in the past 1 year
to identify proportion of the source department and constituent ratio of ophthalmologic consultation disease in top five sections
top five eye diseases and to understand five special consultation need routine ophthalmology examination which an ophthalmic chief resident should be confronted with. Results Among 25 departments which request ophthalmic consultation
the top five closely related sections were the Department of Endocrinology (452 cases
20.9%)
Depart-ment of ENT (296 cases
14.5%)
Department of Cardiology (194 cases
9.5%)
Neurological depart-ment of internal medicine (154 cases
7.6%) and Department of gerontology (144 cases
7.1%). Among 32 ophthalmologic consultation diseases
clearly the top five diseases were cataract (630 cases
30.9%)
refractive error (368 cases
18.1%)
diabetic retinopathy (222 cases
10.9%)
conjunctivitis (154 cases
7.6%)
glaucoma (66 cases
3.2%) and pregnancy induced hypertension retinopathy (66 cases
3.2%). With the development of new technology and the new situation and the doctor's self-protection aware-ness
five special consultation circumstances were Department of ENT preoperative routine ophthal-mology examination (196 cases
9.6%)
further clarify the diagnosis of traumatic optic neuropathy (26 cases
1.28%)
Department of Hematology pre-transplantation of stem cell ophthalmologic routine ex-amination (22 cases
1.08%)
glaucoma excluded before the atropine experiment checking (20 cases
0.98%) and cornea K-F ring further examination (16 cases
0.79%). Conclusion Ophthalmology-related consultation departments are widely distributed
involving more sorts of eye disease
and part of the consultation needs an eye check-up
which requires that ophthalmic chief resident should be a calm demeanor
who has ability on quick judgment of emergency and takes corresponding measures
and meanwhile
he should be a good communicator with other section practitioners and have quality of comprehensive
independent thinking and innovative consciousness of be a scholar ophthalmologist.
住院总医师 院内会诊 眼科 疾病构成比
Chief resident (CR) Hospital consultation (HC) Ophthalmology Constituent ratio of disease (CRD)
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