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目的探讨自发性颅内出血急诊治疗的方法和时机。方法回顾性分析我院2011年1月~2012年12月收治的98例颅内出血患者的临床资料,研究分析进行外科治疗和内科治疗的方法和时机。结果脑血管畸形造成出血患者56例,高血压出血患者42例,接受手术治疗的患者42例,死亡患者6例,死亡发生率14.3%;接受内科治疗的患者56例,死亡患者16例,死亡发生率28.6%。两组患者病死率有显著差异(P<0.05)。结论进行及时有效的急诊措施以及手术治疗,可以有效降低患者自发性脑出血的病死率,挽救患者的生命。
Objective To explore the method and timing of emergency treatment of spontaneous intracranial hemorrhage. Methods The clinical data of 98 patients with intracranial hemorrhage admitted from January 2011 to December 2012 in our hospital were retrospectively analyzed. The methods and timing of surgical treatment and medical treatment were analyzed. Results 56 cases of hemorrhage caused by cerebrovascular malformations, 42 cases of hypertensive hemorrhage, 42 cases of surgical treatment, 6 cases of death and 14.3% of deaths; 56 cases of medical treatment, 16 cases of death and 16 cases of death The incidence of 28.6%. There was significant difference between the two groups (P <0.05). Conclusions The timely and effective emergency measures and surgical treatment can effectively reduce the mortality of patients with spontaneous cerebral hemorrhage and save the lives of patients.