(目的)本文旨在报告急诊科(ED)治疗的泌尿系疾病的临床统计数据。(患者和方法)我们回顾性评估了2013年1月至2014年12月在ED中诊断为泌尿系疾病的1,480例患者。我们检查了病人的性别,年龄,主要投诉,应急等级,寻求护理的过程,住院治疗,考试项目,和诊断。我们还回顾了首次访问ED并在泌尿科随访的患者的正确诊断率。(结果)在患者中,2.6%被诊断为泌尿系疾病,男女比例为1.5:1。年龄分布从0到101岁,平均年龄为53岁。需要住院治疗的患者占17.8%。诊断为尿路结石(546例),膀胱炎(220例),和肾盂肾炎(137例),按照频率的顺序。尿石症的正确诊断率(91.2%),良性前列腺增生(75.0%),肾盂肾炎(71.9%)高。然而,那些睾丸扭转(0%),泌尿系肿瘤(26.7%),前列腺炎(35.7%),附睾炎(35.7%)较低。(结论)在ED中,82.2%的泌尿系疾病病例为轻度,不需要住院治疗。急性阴囊的正确诊断率低,因为它很难诊断,因此很难在ED中管理。因此,泌尿科医师应与ED工作人员合作,并警告他们,急性阴囊病例应接受紧急咨询。
(Objectives) This paper aimed to report the clinical statistics on urologic diseases treated in the emergency department (ED). (Patients and methods) We retrospectively evaluated 1,480 patients diagnosed with urologic diseases in the ED between January 2013 and December 2014. We reviewed the patients\' sex, age, main complaints, emergency grade, care-seeking process, hospitalization, examination items, and diagnosis. We also reviewed the correct-diagnosis rates of patients who visited the ED for the first time and were followed up at the urology department. (Results) Of the patients, 2.6% were diagnosed as having a urologic disease, with a male-to-female ratio of 1.5:1. The age distribution ranged from 0 to 101 years, with a median age of 53 years. Patients who required hospitalization accounted for 17.8%. The diagnoses were urolithiasis (546 cases), cystitis (220 cases), and pyelonephritis (137 cases), in order of frequency. The correct-diagnosis rates of urolithiasis (91.2%), benign prostatic hyperplasia (75.0%), and pyelonephritis (71.9%) were high. However, those of testicular torsion (0%), urologic neoplasm (26.7%), prostatitis (35.7%), and epididymitis (35.7%) were low. (Conclusion) In the ED, 82.2% of cases of urologic diseases were mild and did not require hospitalization. The correct-diagnosis rate of acute scrotum was low, as it was difficult to diagnose and thus difficult to manage in the ED. Therefore, urologists should cooperate with ED staff and warn them that cases of acute scrotum should be subjected to emergency consultation.