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目的:为了探讨高血压合并脑出血的急诊抢救中的方法和疗效,提高抢救质量,降低死亡率。方法:对我院2010年6月到2011年6月30例通过在急诊中采用引流管置入侧脑室,进行长时间颅腔内血肿引流清除的患者进行研究。结果:对我院25例患者进行研究后,通过分析所得的数据,25例患者在急诊抢救前有严重的神志障碍20例,中度障碍患者4例,1例轻度患者。急诊后第一天时间内进行CT复查,颅腔内的血肿引流清除率达到85%~95%。急诊之后第一天时间内有6例患者恢复意识,8例患者5天之后出现严重的神志障碍,再出血的现象有3例发生,而急诊后出现死亡的患者有3例,均在医院内部死亡。结论:急诊抢救手术治疗高血压合并脑出血患者,能够清楚颅内血肿,减轻脑缺氧,脑组织受压现象,同时减轻伤残率,降低死亡率提高存活率。
Objective: In order to explore the emergency treatment of hypertension with cerebral hemorrhage in the method and efficacy, improve the quality of rescue and reduce mortality. Methods: From June 2010 to June 2011 in our hospital, 30 cases were treated with drainage tube inserted into the lateral ventricle in the emergency department to study the long-term drainage of intracranial hematoma. Results: After analyzing the data of 25 patients in our hospital, 25 patients had severe psychiatric disorders before emergency rescue in 20 patients, 4 patients with moderate disturbance and 1 mild patient. The first day after the emergency CT review, intracranial hematoma drainage clearance rate reached 85% to 95%. In the first day after the emergency, 6 patients regained consciousness, 8 patients developed severe psychiatric disorders 5 days later, 3 cases had rebleeding, and 3 patients died after the emergency, both within the hospital death. Conclusion: Emergency treatment of patients with hypertension complicated by cerebral hemorrhage can clear intracranial hematoma, relieve cerebral hypoxia and pressure of brain tissue, reduce disability, reduce mortality and increase survival rate.