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耳鼻喉部病房(12G,12H)收治標準

發布日期:2016-04-06

 耳鼻喉部病房(12G,12H)收治標準

制定部門:耳鼻喉部
制定日期:102 2 4 日初訂
修訂日期:104 2 16 日第五次修訂
本著作非經著作權人同意,不得轉載、翻印或轉售
壹、 病房住院及轉入標準(Admission criteria
一、收治標準: 符合耳鼻喉科相關主訴或疾病之急、慢性病患,且本科之設備
及技術足以提供積極治療服務,予以收治住院治療。
1. Admission criteria: We treat patients with diseases in the ear, nose, throat, head
and neck fields. Patients are admitted under the circumstances that active
treatment could be offered by our department and staff.
二、收治疾病分類 (disease categories):
1. 慢性中耳炎、耳硬化症、梅尼爾氏症、眩暈、外淋巴瘻管、膽脂瘤、急、
慢性乳突炎、嚴重外耳炎、耳前瘻管、小耳症、先天性聽力障礙、耳部良
性及惡性腫瘤、顏面神經麻痺、耳帶狀疱疹、突發性耳聾及耳科相關疾病
或併發症須處理、需住院觀察、保守治療或手術治療者。
1. Chronic otitis media, otosclerosis, Meniere’s disease,vertigo, perilymph fistula,
cholesteatoma, acute or chronic mastoiditis, severe otitis externa, preauricular
fistula, microtia, congenital hearing impairment, benign and malignant tumor of
the ear, facial palsy, Ramsay-Hunt syndrome, sudden deafness and other
ear-related diseases and complications that need further treatment, admission for
observation, conservative or surgical treatment.
2. 急、慢性鼻竇炎、鼻息肉、鼻出血、鼻中隔彎曲、鼻外觀變形、慢性鼻炎、
過敏性鼻炎、倒生性乳突瘤、其他鼻及顱底良性及惡性腫瘤及鼻科相關疾
病或併發症須處理、需住院觀察、保守治療或手術治療者。
Acute or chronic rhinosinusitis, nasal polyps, epistaxis, nasal septum deviation,
crooked nose, chronic rhinitis, allergic rhinitis, inverted papilloma, nasal or
skull base benign and malignant tumors, as well as other nose-related diseases
and complications that need further treatment, admission for observation,
conservative or surgical treatment.
3. 急、慢性扁桃腺炎、腺樣體或扁桃腺肥大、打鼾或睡眠呼吸障礙、各類音
聲障礙、軟喉症、聲門下狹窄、咽喉腫瘤、呼吸道窘迫或異物,及喉科相
關疾病或併發症狀須處理、需住院觀察、保守治療或手術治療者。
Acute or chronic tonsillitis, adenoid or tonsillar hypertrophy, snoring or sleep
apnea, voice disorders, laryngomalacia, subglottic stenosis, pharyngeal or
laryngeal tumor, air way compromise or foreign body impaction, and other
larynx-related diseases and complications that need further treatment, admission
for observation, conservative or surgical treatment.
4. 各類良性及惡性頭頸部腫瘤包括口腔癌、鼻及鼻竇癌、鼻咽癌、口咽癌、
下咽癌、喉癌、頭頸不明原發癌等,及頸部腫塊、咽旁腫瘤,及唾液腺腫
瘤及結石和所有頭頸部腫瘤料相關疾患或併發症須住院接受觀察、支持治
療、抗生素治療或手術治療者。
Benign and malignant tumors of head and neck that include oral cavity cancers,
sinonasal cancers, nasopharyngeal carcinoma, oropharyngeal cancer,
hypopharyngeal cancer, head and neck of unknown origin, neck tumor,
parapharyngeal tumor, salivary gland or sialolisthiasis and other head and
neck-related diseases and complications that need further treatment, admission
for observation, conservative or surgical treatment.
5. 急性頭頸部感染症 (如急性聲門上炎、深頸部感染 ),經評估觀察,需藥物
或手術治療。
Acute infection in head and neck field (ex. Supraglottits or deep neck infection),
medical or surgical treatment is necessary after evaluation.
6. 於急診或他病房會診,經負責主治醫師判斷屬耳鼻喉科疾病需專科治療
者。
After emergent or ward consultation, admission to ENT ward is suggested by
the attending physician in charge.
 
貳、病房出院及轉出標準( Di s c h a rge criteria)
1.住院之主訴成病症已獲處置穩定或消失,且病患生命跡象穩定,不須靜脈
輸液藥物或短暫引流管者
Patients' chief complaints or diseases have been treated and stabilized or gone.
Patients have stable vital sign without the need of intravenous medication or
drainage tube .
2. 已安排轉診其他醫院或醫療機構持續照顧者
Patients have been settled to transfer to other hospital or health care facility for
contmuous care.
3. 病患之病症經評估適合轉他科病房持續照顧者
Patients' medical condition would be better taken care by other department and
ward after evaluation.
4. 病危自動出院
Discharge against advice