自治医科大学眼科における時間外救急診療の統計的観察

Review of ophthalmic emergency service in Jichi Medical University Hospital

要約　目的：当院における時間外眼科救急診療の統計的観察。対象と方法：2005年10月から1年間の時間外受診症例を対象とし，受診日，件数，地理的分布，主訴，診断名，処置，入院，緊急性の有無について診療録から調査した。結果：年間総受診件数は1,410件，曜日別の1日平均受診件数は，祝日13.3件，日曜7.5件，土曜4.3件，平日2.2件であった。89％は30km圏内からの受診であった。主訴は異物飛入が最も多く，疼痛，打撲の3つで7割を占めていた。入院件数は3.0％，手術件数は2.2％，緊急性の高い疾患は5.7％であった。結論：緊急性の高い疾患の割合は低く，1次医療と考えられる疾患であった救急患者が大部分を占めていた。

Abstract.　Purpose：To report the status of the emergency service of a university hospital located in the rural area. Cases：This study was made on 1,410 patients who visited the emergency service for eye problems during 12 months through September 2006. Results：The series comprised 862 males and 548 females. The age averaged 34.4±21.2 years. Persons in the third decade were the most frequent. Persons aged 10 years or less were most frequent per population in the area. Their visit was most frequent from 9 to 12 a. m. on holidays. Eighty-nine percent of cases came within 30 km from the hospital. Foreign body was the most frequent at 29％, followed by ocular pain 20％ and trauma 18％. The trauma involved the cornea or conjunctiva in the majority of cases. Conjunctivitis was the most frequent among nontraumatic cases. Surgery was performed on 31 cases（2.2％）and 42 cases（3.0％）were hospitalized. Only 80 cases（5.7％）needed emergency service. Conclusion：Most of cases did not actually need emergency treatment. Pain and anxiety appeared to be the chief motives.