中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2013年
1期
10-12
,共3页
重症%高血压性脑出血%院前救护
重癥%高血壓性腦齣血%院前救護
중증%고혈압성뇌출혈%원전구호
Severe%Hypertensive cerebral hemorrhage%Prehospital care
目的:探讨基层医院快速有效的对重症高血压性脑出血病人院前救护对提高病人抢救成功率的重要性.方法:对急诊科2008年1月~2011年12月收治的166例病人分成2组.院前急救病人为观察组,家属自行送入医院的为对照组,统计入院抢救后24小时内死亡人数.结果:经院前救护的106例中死亡18例,死亡率17%,未经院前救护家属自行送入的60例中死亡26例,死亡率43%.结论:经过院前急救措施处置的重症高血压性脑出血病人死亡率与未经院前处置的病人死亡率差异有统计学意义(P<0.01),说明院前急救、安全转送是降低重症高血压性脑出血院前死亡率,提高抢救成功率的关键.
目的:探討基層醫院快速有效的對重癥高血壓性腦齣血病人院前救護對提高病人搶救成功率的重要性.方法:對急診科2008年1月~2011年12月收治的166例病人分成2組.院前急救病人為觀察組,傢屬自行送入醫院的為對照組,統計入院搶救後24小時內死亡人數.結果:經院前救護的106例中死亡18例,死亡率17%,未經院前救護傢屬自行送入的60例中死亡26例,死亡率43%.結論:經過院前急救措施處置的重癥高血壓性腦齣血病人死亡率與未經院前處置的病人死亡率差異有統計學意義(P<0.01),說明院前急救、安全轉送是降低重癥高血壓性腦齣血院前死亡率,提高搶救成功率的關鍵.
목적:탐토기층의원쾌속유효적대중증고혈압성뇌출혈병인원전구호대제고병인창구성공솔적중요성.방법:대급진과2008년1월~2011년12월수치적166례병인분성2조.원전급구병인위관찰조,가속자행송입의원적위대조조,통계입원창구후24소시내사망인수.결과:경원전구호적106례중사망18례,사망솔17%,미경원전구호가속자행송입적60례중사망26례,사망솔43%.결론:경과원전급구조시처치적중증고혈압성뇌출혈병인사망솔여미경원전처치적병인사망솔차이유통계학의의(P<0.01),설명원전급구、안전전송시강저중증고혈압성뇌출혈원전사망솔,제고창구성공솔적관건.
Objective:To analyze the successful rescue rate importance of the patients with fast and effective method on severe hypertension cerebral hemorrhage in Prehospital care. Methods:Totally 166 cases of the emergency department from 2008 January to 2011 December were divided into 2 groups. Prehospital first aid patients were in observation group, Families admitted were in the control group, Statistics the death toll within 24 hours after. Hospitalization . Results:In 106 cases, 18 cases of death in prehospital first aid, mortality is 17% . In 60 cases, 26 cases of death in families admitted, mortality is 43% .Conclusion:The mortality differences between prehospital emergency measures disposing and not disposing of the patients have significant differences(P<0.01). These Descriptors that Prehospital emergency and safety transfer is the key to reduce severe hypertensive cerebral hemorrhage prehospital patients' mortality, and improve the success rate.