全院2年急诊留观及各科住院急性脑血管病病例分析

An Analysis of Inpatients With Acute Cerebrovascular Diseases in Emergency Observation Room and Various Departments in Two Years

对我院近2年急诊留观及各科住院的急性脑血管病(ACVD)390例和402例病人进行分析,发现急诊留观390例中,TIA占5.1%,脑栓塞占3.8%,ABI占54.4%,SAH占6.4%,脑出血占30.3%,死亡率为20.5%.改善急诊科的抢救设施,提高ACVD急性期的抢救技术,对降低ACVD的死亡率和提高其远期康复水平的意义非常重大;各科住院402例中,偏瘫占95.8%,偏麻占56.5%,语言障碍占52.8%,认知障碍占54.7%,心理障碍占56.5%,ADL障碍占96.5%.出院时生活完全自理占50%,半自理占22.6%,完全不能自理占18.2%,死亡占9.2%.强化ACVD早期处理,确立ACVD的全面康复目标,普及推广康复评估和治疗技术,完善病人出院后的家庭和社会服务,提高70%以上存活者的生活质量,不但是康复医生,而且也是其他科各有关医生应负的重大社会责任.

792 inpatients with acute cerebrovascular diseases (ACVD) treated in emergency observation room and various departments of our hospital in recent two years were analysed. Of 390 cases in emergency observation room, TLA account for 5.1%, cerebral embolism 3.8%, ABI 54.4%, SAH 6.4% and hemorrhage 30. 3%. Mortality was 20. 5%. To improve device and skills of the first-aid is of great importance not only for decreasing mortality at acute stage, but also for increasing the patients' long-term functional level. Of 402 cases admitted to various departments, hemiplegia accounted for 95.8%, hemiparasthesia 56. 5% , communication disorders 52. 8% , cognition disorder 56.5% , disability of ADL 96. 5%. At discharge 50% of patients in this group were independent, 22. 6% partially independent, 18. 2% dependent. Mortality was 9. 3%. The authors suggest that special attention be paid in strengthening early management, setting goals of comprehensive rehabilitation, dissemilating adequate functional assessment and treatment techniques , perfecting family and social services after discharge, improving living quality of the survivers. All the above are not only duties of doctors working in rehabilitation department but also of those in other departments.