重症出血性脑血管病患者的临床急救措施.docVIP

精品论文 参考文献 重症出血性脑血管病患者的临床急救措施 徐伍书（湖北省咸宁市通山县人民医院 437600） 　　【摘要】目的:探讨研究重症出血性脑血管病患者的临床急救措施。方法:选取我院2008年2月至2013年11月收治的98例重症出血性脑血管患者的临床资料，随机分为院前急救和院内急救组，采取不同的急救措施，观察两组患者的抢救措施和临床疗效。结果：院前急救组患者经采取保持呼吸道畅通、建立静脉通路、途中安全转运等急救措施后生存人数为44例，院内急救组患者经采取降低颅内压、气管插管、调节血压等急救措施后生存人数为25例，两组间生存率比较具有显著差异性（P ＜0.05）结论：重症出血性脑血管病患者在院前采取急救措施，能够降低死亡率，在临床上具有重要意义，值得推广。 　　【关键词】重症出血 脑血管 急救 　　【中图分类号】R743.34 【文献标识码】A 【文章编号】1672-5085（2013）51-0063-01 　　Severe hemorrhagic cerebrovascular disease in patients with clinical aid measures 　　【Abstract】 Objective: To investigate the study in patients with severe hemorrhagic cerebrovascular diseases Clinical emergency measures. Methods: The clinical data from February 2008 to November 2013 were treated 98 cases of severe hemorrhagic cerebrovascular patients were randomly divided into pre-hospital and hospital emergency groups take different aid measures were observed in patients rescue measures and clinical efficacy. Results: The group of patients with pre-hospital care taken to keep the airway open, establishment of intravenous access, secure way to transfer after first aid measures such as the number of survival for the 44 patients taken to hospital after emergency patients to reduce intracranial pressure, endotracheal intubation, regulating blood pressure and other aid measures the number after the existence of 25 cases, survival rates between the two groups was significant difference (P lt;0.05) Conclusion: patients with severe hemorrhagic cerebrovascular disease in the pre-hospital first aid measures that can reduce mortality has important clinical significance, worth promoting. 　　【Key words】 severe bleeding cerebrovascular aid 　　重症出血性脑血管病是指脑血管突然形成血栓等原因引起???急性脑部血管循环障碍的疾病，是医院常见的急救病症之一，该疾病起病急，病情变化快，病死率高，若不及时抢救，患者会因中枢呼吸抑制而导致死亡[1]。该疾病的临床表现有神经系统损伤、失语、呛咳、眩晕、脑出血、脑血管血栓、脑梗塞、肢体瘫痪、精神不振、短暂缺血性发作等症状，临床诊断主要有神经检查、脑脊液检查和脑CT检查[2]。采取及时有效的抢救措施，对挽救患者的生命极其重要，本文选择我院抢救的98例重症出血性脑血管患者的临床资料，现将急救措施报道如下。 　　1 资料与方法 　　1.1