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首页> 外文期刊>Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association >Sickle cell disease management in the emergency department: what every emergency nurse should know.
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Sickle cell disease management in the emergency department: what every emergency nurse should know.

机译：急诊室镰状细胞病管理：每位急诊护士应了解的知识。

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摘要

In 2004, the Agency for Healthcare Research and Quality reported that nearly 80% of the 80,000 hospital admissions for acute sickle cell disease (SCD) began their course in the emergency department. SCD is a chronic disease associated with serious pathophysiologic complications (eg, stroke, pulmonary embolus, sepsis, and acute chest syndrome [ACS]), severe pain crises, debilitating chronic pain, and a shortened life span. ' Morbidity and mortality rates remain high, as reflected by the median age of death: 42 years for men and 48 years for women.7 Because of the potential for underlying pathophysiologic complications, in addition to the severe pain crises, patients should be evaluated rapidly in the emergency department and receive emergent intervention. The frequency of pain episodes and the need for hospital re-admission after ED visits has been associated with an increased risk of death, suggesting that rapid and thorough evaluation and management of these episodes is indicated.
机译：2004年，美国医疗保健研究与质量局报告说，在80,000例因急性镰状细胞病（SCD）入院的患者中，有近80％在急诊科就读。 SCD是一种慢性疾病，伴有严重的病理生理并发症（例如中风，肺栓塞，败血症和急性胸综合症[ACS]），严重的疼痛危机，使慢性疼痛衰弱和寿命缩短。死亡率和中位数的死亡率仍然很高，如中位死亡年龄所示：男性为42岁，女性为48岁。7由于潜在的病理生理并发症的可能性，除了严重的疼痛危机外，还应迅速评估患者在急诊室接受紧急干预。急诊就诊后疼痛发作的频率和需要再次入院与死亡风险增加有关，这表明需要对这些发作进行快速而彻底的评估和处理。

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