蛛网膜下腔出血的院前诊治体会──附6例病例报告

PREHOSPITAL TREATMENT OF PATIENTS WITH SUBRACHNOID CERERAL HEMORRHAGE. TANG

蛛网膜下腔出血要强调诊断快速、准确，本病特点为突发，“头要裂开”样剧痛，重者伴有颅内压增高表现和神经根刺激征。脑膜刺激征是本病的主要体征。处置：应减少搬动，镇静、止痛，必要时降低血压或颅内压。尽早转入医院治疗。强调：行脑血管形象学检查是进一步找出病因、进行根冶的必须手段。

Objective: To report the experiment of prehospital treated the patients with subrachnoid cerebral hemorrhage.Methods: Six patients with subrachnoid cerebral hemorrhage emergency treated in family. Early diagnosed depened on acuteheadache, stimulating of nerve roots, and increased intracranial pressure. Immediately administered sedateve and analgesic agents,depressed blood pressure and cerebral pressure if neccessary, decreased move the patient. The patient must sent the hospital asguickly as possible. Result: All of the six patients cured, no seguelae. Conclusion: Early diagnosed and prehospital treated wereeffect methods for the patients with subrachnoid cerebral hemorrhage.