三軍總醫院耳鼻喉科的急診病例分析

Cases Study of ENT Emergency of TSGH

周慶明(Ching-Ming Chou)

《Journal of Medical Sciences》 10卷5期 (1990/10) Pp. 315-320

摘要

自1976至1985年共10年間，耳鼻喉科急診病人共計8920人，依疾病的診斷或臆斷，以疾病型態為重點，分析歷年來疾病型態百分比之變化。耳病佔耳鼻喉科全部急診約16.2％，其中以耳鳴、眩暈最多，佔全部耳病的29.9％。鼻病佔耳鼻喉科全部急診的17.5％，其中以鼻衂最多，佔全部鼻病的74.6％。咽喉疾病佔耳鼻喉全部急診的32.8％，其中以急性扁桃腺炎最多，佔全部咽喉疾病的76.8％。呼吸吞嚥道異物存留，佔耳鼻喉科全部急診的19.0％，其中以咽、喉及食道異物最多，佔75.1％。外傷佔耳鼻喉全部急診的11.8％，其中以鼻和顏面外傷最多，佔外傷病人的49.4％。所有年齡層中，以21至30歲族群最多，佔全部病人的38.4％。

關鍵字

眩暈 ； 鼻衂 ； 急性扁桃腺炎 ； 呼吸吞嚥道異物存留

並列摘要

With clinical impression and diagnosis, we analysed 8,920 cases of emergent patients during 1976-1985 and looked for the distribution and epidermiology of ENT emergency. The vertigo and tinnitus was the most prominent disease of the ear disorder with a rate of 29.9%. The epistaxis was the most prominent disease of nose disorder with a rate of 74.6%. The acute tonsillitis was the most prominent disease of pharynx with a rate of 76.8%. The aerodigestive foreign body was the most prominent foreign body retention with a rate of 75.1%. The trauma of nose and face was the most common type of traumatology with a rate of 49.4%. There was no emergent disease caused by war. There was no definite difference in disease pattern between the military, dependent and civil patients. The commonest diseases in ENT emergency were as follows: vertigo epistaxis, acute tonsillitis and aerodigestive foreign body.

並列關鍵字

ENT emergency case study ； Vertigo ； Epitaxis ； Acute tonsiIlitis ； Aerodigestive foreign body