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中国五大高危临床科室一览

2015-06-12 子叶 医学界杂志

被砍的耳鼻喉科医生多 据国家卫计委公布数据,2012年全国共发生恶性伤医案件11起,受伤35人,其中发生在耳鼻喉科的就有3起,死伤7人,使得该科成为不折不扣的“高危科室”。 为什么耳鼻喉科会成为高危科室? “在国外,耳鼻喉科的重要性可以排在所有科室里面的前三名。”哈尔滨医科大学附属第一医院耳鼻喉科主任李慧军接受相关采访时表示。 而在我国,一些医院将耳鼻喉科作为小科室管理。无论是

被砍的耳鼻喉科医生多

据国家卫计委公布数据,2012年全国共发生恶性伤医案件11起,受伤35人,其中发生在耳鼻喉科的就有3起,死伤7人,使得该科成为不折不扣的“高危科室”。

为什么耳鼻喉科会成为高危科室?


“在国外,耳鼻喉科的重要性可以排在所有科室里面的前三名。”哈尔滨医科大学附属第一医院耳鼻喉科主任李慧军接受相关采访时表示。

而在我国,一些医院将耳鼻喉科作为小科室管理。无论是医院管理层还是医务人员,甚至是患者,会出现“耳鼻喉疾病远远不如心脏疾病严重”的认识误区。这种情况一方面会导致医院在医生人才培养方面难以形成良好的梯队建设,不利于优秀医务人员的成长。另一方面,患者一旦诊疗情况并不如预期,心理会产生落差,认为这种“小病”也会出问题,医患间容易产生隔阂。

猝死的麻醉科医生多

近两年,全国已有约15名麻醉医生猝死,大部分是三四十岁的青壮年。时值壮年,为何会多发猝死?

“按照欧美每万人需要2.4个麻醉医生的标准,中国应该配备30-35万名麻醉医生,而实际情况是中国的麻醉医生只有8-9万。” 浙江大学医学院附属第二医院麻醉科医生、新青年麻醉论坛站长周祥勇向《医学界》介绍。

再以上海为例。目前上海市的麻醉科医师总数大约在2000余人左右,而全市常住人口总数为2415.15万人,也即每百万人仅配备1.2位麻醉科医师,远远低于欧美每万人至少2.4个麻醉科医师的标准。

“麻醉医生奇缺现象,导致麻醉医生承担了数倍于美国同行的工作量。”上海交通大学医学院附属瑞金医院院长助理、中国医师协会麻醉学医师分会副会长于布为曾表示。

被打的儿科护士多

南京某医院一位儿科护士长在接受采访时曾表示,因为扎针没能“一针见血”而被家长责骂的,几乎每天都会发生。

然而,没能做到一针见血并非都是护士技术不行,“尤其是在冬季,天气寒冷,血管处于收缩状态,脆性大,孩子血管本身就细,如果宝宝发烧或有腹泻脱水血管干瘪,这个针就更难扎了。有的孩子哭闹好动,更增加了扎针的难度。”该护士长介绍。

被告的妇产科医生多

2014年12月,中国社会科学院研究生院及社会科学文献出版社共同发布的《医改蓝皮书:中国医药卫生体制改革报告(2014——2015)》中指出,妇产科成为医疗纠纷的高发科室。

2014年北京市医调委的数据也显示,北京市有七成医院发生过殴打、辱骂医务人员等“医闹”事件,其所调解的近5000例医疗纠纷中,妇产科位居榜首。

更有相关数据指出, 产科的医疗纠纷与过失事故高居各临床科室之首。

产科医疗纠纷的特点是形式多样,突然发生,后果严重,难以接受,热点事件,高度关注。福建省的首例医疗事故罪即发生在妇产科。

北京医调委常务副主任刘方介绍,其实,国外妇产科的纠纷也最多,主要原因是妇产科手术多和患者家属心态导致,多数人认为,孕产妇大多不是患者而是健康人,一旦在孕育生产中出现问题,他们很难接受。专家指出,消除医患关系的紧张状态,需要双方共同努力,更重要的是医患双方能够换位思考,同心协力去应对疾病这个共同的敌人。

被打砸的急诊科多

急诊科也是医疗纠纷的高发科室。醉酒闹事、家属情绪激动……急诊科被打砸的理由多种多样,急诊科的很多医护也被伤害。

据了解,许多医院的医护人员不愿意到急诊科去。在他们看来,急诊科是“工作场所暴力事件较多”的代名词。有的急诊科窗户一推就开,外面放着小凳子,以备医生随时逃跑……在网友“急诊医学之殇”的描述中,急诊科更像一个杂乱不堪的菜市场。

按照首诊负责制的原则,医院急诊科不能够推诿患者。但现实却是,有大量“不危不急”患者扎堆急诊科。“一些挂急诊的患者是因为门诊挂号难,另外还有白天工作忙、晚上跑过来看病的,有的患者挂急诊甚至只为开个药。”解放军304医院急诊科赵晓东主任说。

(本文根据@罩得住他爸 微博改编,参考重庆日报、新京报等相关报道综合,在此一并致谢)


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    2015-06-25 huaxipanxing

    看看

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    2015-06-19 a6300

    医患关系如此紧张,医生的权益如何保证。希望社会各界都引起重视

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    2015-06-15 summer474cn

    0

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    2015-06-15 summer474cn

    真的是医疗现状

    0

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    2015-06-15 Messichen1992

    心内科

    0

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    2015-06-15 jianming1213

    i

    0

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    2015-06-15 huangsong808

    一针见血地分析了我国目前的医疗现状!

    0

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    2015-06-14 xwdon123

    政府应该多做实事,平衡医患之间的矛盾!

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=29385, encodeId=9d4129385d5, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Thu Jun 25 23:42:00 CST 2015, time=2015-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28180, encodeId=02ee28180c4, content=医患关系如此紧张,医生的权益如何保证。希望社会各界都引起重视, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6edd1623158, createdName=a6300, createdTime=Fri Jun 19 08:58:00 CST 2015, time=2015-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27652, encodeId=4bf22e65229, content=!, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150526/IMG5564536F3C41D5237.jpg, createdBy=4c0c1612254, createdName=summer474cn, createdTime=Mon Jun 15 08:36:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27651, encodeId=3ea12e65113, content=真的是医疗现状, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150526/IMG5564536F3C41D5237.jpg, createdBy=4c0c1612254, createdName=summer474cn, createdTime=Mon Jun 15 08:36:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27644, encodeId=85cc2e64482, content=心内科, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ed101627734, createdName=Messichen1992, createdTime=Mon Jun 15 08:32:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27635, encodeId=9e992e6352e, content=i, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6fa1628237, createdName=jianming1213, createdTime=Mon Jun 15 00:54:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27619, encodeId=89f82e61993, content=一针见血地分析了我国目前的医疗现状!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d031628224, createdName=huangsong808, createdTime=Mon Jun 15 00:13:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27614, encodeId=08182e614aa, content=政府应该多做实事,平衡医患之间的矛盾!, beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=42d71587216, createdName=xwdon123, createdTime=Sun Jun 14 23:25:00 CST 2015, time=2015-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27578, encodeId=14392e57884, content=以后需要好好考虑, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a3681628133, createdName=1dd81f11m39(暂无匿称), createdTime=Sat Jun 13 22:54:00 CST 2015, time=2015-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27428, encodeId=a5052e42866, content=又回到了国家的不作为了,唉,悲催愚昧的国家和臣民, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db141627504, createdName=chenguoyan, createdTime=Sat Jun 13 01:25:00 CST 2015, time=2015-06-13, status=1, ipAttribution=)]
    2015-06-13 1dd81f11m39(暂无匿称)

    以后需要好好考虑

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=29385, encodeId=9d4129385d5, content=看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ee0d1618732, createdName=huaxipanxing, createdTime=Thu Jun 25 23:42:00 CST 2015, time=2015-06-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=28180, encodeId=02ee28180c4, content=医患关系如此紧张,医生的权益如何保证。希望社会各界都引起重视, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6edd1623158, createdName=a6300, createdTime=Fri Jun 19 08:58:00 CST 2015, time=2015-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27652, encodeId=4bf22e65229, content=!, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150526/IMG5564536F3C41D5237.jpg, createdBy=4c0c1612254, createdName=summer474cn, createdTime=Mon Jun 15 08:36:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27651, encodeId=3ea12e65113, content=真的是医疗现状, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://api.medsci.cn/resource/upload/20150526/IMG5564536F3C41D5237.jpg, createdBy=4c0c1612254, createdName=summer474cn, createdTime=Mon Jun 15 08:36:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27644, encodeId=85cc2e64482, content=心内科, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ed101627734, createdName=Messichen1992, createdTime=Mon Jun 15 08:32:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27635, encodeId=9e992e6352e, content=i, beContent=null, objectType=article, channel=null, level=null, likeNumber=121, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d6fa1628237, createdName=jianming1213, createdTime=Mon Jun 15 00:54:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27619, encodeId=89f82e61993, content=一针见血地分析了我国目前的医疗现状!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d031628224, createdName=huangsong808, createdTime=Mon Jun 15 00:13:00 CST 2015, time=2015-06-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27614, encodeId=08182e614aa, content=政府应该多做实事,平衡医患之间的矛盾!, beContent=null, objectType=article, channel=null, level=null, likeNumber=153, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=42d71587216, createdName=xwdon123, createdTime=Sun Jun 14 23:25:00 CST 2015, time=2015-06-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27578, encodeId=14392e57884, content=以后需要好好考虑, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a3681628133, createdName=1dd81f11m39(暂无匿称), createdTime=Sat Jun 13 22:54:00 CST 2015, time=2015-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=27428, encodeId=a5052e42866, content=又回到了国家的不作为了,唉,悲催愚昧的国家和臣民, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db141627504, createdName=chenguoyan, createdTime=Sat Jun 13 01:25:00 CST 2015, time=2015-06-13, status=1, ipAttribution=)]
    2015-06-13 chenguoyan

    又回到了国家的不作为了,唉,悲催愚昧的国家和臣民

    0

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