脑出血患者临床抢救及用药观察

Rescue and medicine in patients with cerebral hemorrhage

目的探讨脑出血患者的临床抢救措施和用药后疗效。方法 60例患者于入院初步检查后进行一系列急诊科内抢救,包括:生命体征及心电图的监测,镇静,吸氧,平稳呼吸,脱水降低脑内压力等。结果患者无院前死亡,60例患者病情有不同程度的改善,44例(73.33%)恢复较好,15例(25%)患者处于植物生存状态,1例(1.67%)死亡,死亡时间为治疗后2周。其中有5例患者于治疗1个月后再次入院检查出合并梗阻性脑积水。恢复较好、植物生存状态、死亡患者的发病到确诊时间逐次增加(P<0.05)。结论急诊科内救治脑出血患者最有效的措施就是"早就诊、早治疗",这需要医护人员的共同努力,当然也需要社会各界对相关医疗知识的进一步深入认知。

Objective To discuss the clinical effects of rescue measures and medicine treatment on cerebral hemorrhage.Methods A series of rescue measures had been performed in emergency department on 60 cases after the first check,including vital signs and ECG monitoring,sedation,oxygen,dehydration,brain pressure drop,smooth breathing,dehydration decreasing the intracranial pressure,etc.Results There＇s no death before emergency treatment.The condition of 60 patients had different changes.44 cases（73.33%）recovered better,15 cases（25%）were in vegetative state,and 1（1.67%） case was dead after treatment 2 weeks.Conclusion The most effective treatment measure of cerebral hemorrhage in emergency department was ＂early treatment＂,which required the joint efforts of medical staffs.