研究急诊救治突发性脑出血患者的临床效果

To Study the Clinical Effect of Emergency Treatment for Sudden Cerebral Hemorrhage

目的了解突发性脑出血患者急诊救治措施以及预后质量。方法选取本院2015年2月至2017年2月急诊科收治的突发性脑出血患者为分析对象,对相关资料进行分析,共210例,其中属于自发性非外伤性脑出血患者195例,195例患者均接受急诊救治,对临床数据以回顾性方式处理后归纳分析相关治疗措施以及临床效果。结果 28例患者24h之内发生再出血、脑疝形成至生命中枢受压或者发生其他相关并发症而死亡,17例患者转至上级医院进一步诊治,只有150例患者在急诊科顺利完成治疗,38例患者完成急诊救治并经过后期康复训练后其语言功能、肢体功能等基本恢复正常,112例患者经急诊救治及康复训练后依然存在如肢体运动障碍、语言障碍或者癫痫等后遗症,部分患者甚至生活不能自理。结论急诊科收治突发性脑出血患者应立即确认诱发原因、病灶位置,制定针对性的干预措施,在第一时间内采取抢救处理,避免盲目抢救,最大程度地保障患者生命健康。

Objective To understand emergency treatment measures and prognosis quality of patients with sudden cerebral hemorrhage. Methods Patients with sudden cerebral hemorrhage admitted to the emergency department from February 2015 to February 2017 were selected as the analysis objects. The relevant data were analyzed. There were 210 cases, including 195 cases of spontaneous non traumatic cerebral hemorrhage, and 195 cases received emergency treatment. The clinical data were processed in a retrospective manner, and the relevant treatment measures and clinical effects were summarized. Results Rebleeding occurred within 24h of 28 patients, cerebral herniation occurred until the central nervous system was compressed or other related complications occurred. 17 patients were transferred to higher hospitals for further treatment. Only 150 patients were successfully treated in the emergency department. 38 patients completed emergency treatment and after the latter period of rehabilitation training, their language function, limb function, etc., basically returned to normal. After emergency treatment and rehabilitation training, 112 patients still had sequelae such as limb movement disorders, speech disorders or epilepsy, and some patients Even life can not take care of themselves. Conclusion Patients with sudden cerebral hemorrhage admitted to the emergency department should immediately confirm the cause of the etiology and location of lesions, formulate targeted interventions, and take rescue treatment within the first time to avoid blind rescue and maximize the protection of patients ＇ life and health.