急诊脑出血患者240例临床分析

Clinical Analysis of 240 Emergency Patients with Cerebral Hemorrhage

目的探讨高血压脑出血患者的临床急救措施及其效果。方法随机选取2012年9月—2013年9月在该院收治的高血压脑出血患者240例,根据患者脑出血量的不同,合理选择治疗方案。如果患者脑出血量小,则采用内科控制,如果患者脑出血量大,则采用外科手术治疗,观察急诊脑出血患者的临床治疗效果。结果采用内科治疗患者中,由于控制病情的效果不理想,转外科手术治疗;而实施外科手术治疗的患者,治疗效果良好,病情得以缓解。由于脑出血量大,6例患者错过最佳时机,治疗无效死亡。结论根据脑出血患者病情的不同,合理确定治疗方案,对于改善患者病情,降低死亡率,具有重要的作用。

Objective To investigate the clinical emergency treatment measures for patients with hypertensive cerebral hemorrhage and the therapeutic effects. Methods 240 patients with hypertensive cerebral hemorrhage admitted in our hospital from September 2012 to September 2013 were randomly selected. Reasonable therapeutic regimen was given to the patients according to the differ-ent volume of cerebral hemorrhage. Internal medicine treatment was given to the patients with small amount of cerebral hemor-rhage, and surgical treatment was given to the patients who had large amount of cerebral hemorrhage. And the clinical treatment effect of the emergency patients with cerebral hemorrhage was observed. Results Of the patients treated by internal medicine, some were given surgical treatment later due to the unideal therapeutic effect of internal medicine; the conditions of the patients with surgical treatment were alleviated because the curative effect was good, but 6 patients with large volume of cerebral hemorrhage died because they missed the best treatment time and were unresponsive to the therapy. Conclusion Determining a reasonable therapeutic regimen based on the conditions of the patients with cerebral hemorrhage is very important for improving the disease of the patients and reducing the mortality.