徳島県における脳外科救急の現状と問題点

We investigated the current status and problems of neurosurgical emergency cases in Tokushima. We sent a questionnaire to 13 hospitals where neurosurgical emergency cases were treated to elucidate the patient population, details of diseases and problems of the current emergency system in Neurosurgery.
There were 1373 emergency patients treated between April 1 and June 30 in 1998. The main diseases were head injury (n=558) and stroke (ischemia: n=211, hemorrhage: n= 159). Of these patients, 499 were admitted and 100 were needed to undergo emergency surgery. The main problems were regarding defective current emergency system including deficient medical facilities in each hospital (n=9) and insufficient numbers of neurosurgeons (n=6). Eleven of 13 hospitals complained of the current emergency system in Tokushima.
It is essential to complement the medical staff and facilities in each hospital by the financial support of the government. It is also important to unite each hospital by organizing the information using the networks among hospitals.