The Construction and Management of ICU in General Hospitals<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> 王可富 李琛 Kefu Wang Chen Li 山东大学齐鲁医院ICU,济南 250012 Department of Intensive Care Unit, Qi-Lu Hospital, Shan Dong University, Jinan 250012 ABSTRACT Critical care medicine was a new clinical subject. It was still in early stage of development in our country. There were many questions during its development. This article discussed some questions in the construction and management of Intensive Care Unit(ICU)in general hospitals. It was considered that at present general ICU with close management was more suitable for general hospitals. ICU should have a good relationship with other clinical departments. The medical resources should be reasonably utilized. The personnel, training, and income of the department should be well settled. Well managed and organized department need strict rules and regulations. Key Words:Intensive Care Unit; Construction; Management 危重病医学是一门新兴的学科,在我国只有二十余年的发展历史,但由于在抢救危重病人中的作用显著,得到了迅速发展,特别是当发生突发性、灾难性的事件,危重病员众多的情况下,ICU更起到了举足轻重的作用。去年在我国发生的严重急性呼吸窘迫综合征(SARS)的流行,重症病人达20%,广东省正是由于重视了ICU的建设和管理,根据专家的意见,利用ICU作为抢救危重SARS病人的场所,才使该病的病死率控制在3%以下[1,2]。因此,ICU现在已经成为医院现代化水平的标志,是卫生部评审医院级别的标准之一。我院的ICU是在上世纪90年代初卫生部首批装备的11所部属医学院校的附属医院之一,十余年来也得到了飞速发展,床位由最初的4张增加至16张,应急情况下可增至21张; 工作人员由十余人增加至三十余人;收治病人由约70人/年增加至约300人/年。但是目前危重病医学在我国仍处于摸索发展阶段,在学科的发展、建设、管理、教育等方面尚存在很多问题,本文总结了我们科室在发展过程中关于ICU的建设、管理等方面的经验以及遇到的一些问题,与大家一起探讨。 |