27例重症脑血管病患者的救治体会  

Retrospective analysis of 27 cerebrovascular cases in ICU

作　　者：郑莉[1] 李德强[1] 董文辉[1] 王娟[1] 闫冬[1] 

机构地区：[1]北京航天总医院重症医学科,北京100076

出　　处：《脑与神经疾病杂志》2013年第5期334-338,共5页Journal of Brain and Nervous Diseases

摘　　要：目的探讨重症监护室脑血管病患者的临床特点及治疗体会。方法分析27例脑血管病危重症患者的临床资料,比较院前和监护治疗时的各项指标。结果①77.8%脑血管病患者急诊入院时血压高,其中33.3%患者知晓高血压,高血压未知比率高达44.4%。63.0%为血脂异常患者,高脂血症未知比率高达94.1%;②患者ICU监护治疗时间平均为76±13.7小时,88.89%患者应用呼吸机辅助呼吸,呼吸机持续使用时间平均为57±13.3小时;③27例脑血管病患者好转出院16例(59.3%),预后不佳,非医嘱离院6例(22.2%),死亡5例(18.5%)。结论高血压及高血脂知晓率低,需有效预防控制高血压及高血脂,监护治疗有助改善脑血管病患者预后。Objective To approach the clinical feather and prognosis of severe cerebrovascular of patients in intensive care unit （ICU）.Methods We analyzed retrospectively 27 cases of cerebrovascular patients in adults aged between 17-50,reviewing data of pre-admission and postoperative care.Results ① 77.8% severe cerebrovascular patients were hypertension in emergency room.33.3% patients knowed hypertension,but 44.4% patients did not known of hypertension.63.0% patients were dislipidemia.② Duration of hospital stay were 24±4.3 days.Periods of staying in ICU were 76± 13.7 hours,88.89% patients utilized respirator to assist respiration,time of using respirator were 57± 13.3 hours.Incidence of complications was high.③ Of 27 severe cerebrovascular patients,16 cases were discharged（59.3%） ;6 cases were poor prognosis and leaved hospital （22.2%） ;death of 5 cases （18.5%）.Conclusion The most frequent risk factors of cerebrovascular include hypertension,dislipidemia.Controlling hypertension,dislipidemia will reduce acute cerebrovascular disease.

关 键 词：脑血管病 重症监护 高血压 高脂血症 

分 类 号：R734[医药卫生—肿瘤]