探究脑出血患者在急诊内科的急救措施的临床价值  

To Explore the Clinical Value of Emergency Measures in Emergency Inter-nal Medicine in Patients with Cerebral Hemorrhage

作　　者：胡献礼[1] 刘超侠[2] 

机构地区：[1]江苏省徐州市中心医院急诊科,江苏徐州221009 [2]江苏徐州医学院病理生理教研室,江苏徐州221004

出　　处：《中外医疗》2016年第19期97-98,共2页China & Foreign Medical Treatment

摘　　要：目的研究脑出血患者在急诊内科的急救措施的临床价值。方法方便选取试验对象:该院2014年4月—2015年7月收治的83例脑出血患者。患者分组方法:掷硬币法。83例患者分为传统急救组和微创急救组两个组别。传统急救组给予急诊内科开颅急救措施;微创急救组给予急诊内科微创急救措施。观察指标:1抢救成功率;2急救并发症发生率。结果微创急救组相比于传统急救组抢救成功率95.24%更高,传统急救组仅为75.61%,差异有统计学意义,P<0.05。微创急救组相比于传统急救组急救并发症发生率更低,其中,对照组有4例肺部感染,2例脑水肿,3例上消化道出血,发生率21.95%;观察组有1例肺部感染,1例上消化道出血,发生率4.76%,差异有统计学意义,P<0.05。结论脑出血患者给予急诊内科微创急救措施临床价值高,可有效改善患者预后,减少并发症发生,降低死亡率,值得推广。Objective To study the clinical value of emergency measures in emergency internal medicine in patients with cerebral hemorrhage. Methods Convenient selection 83 cases of cerebral hemorrhage from April 2014 to July 2015 were treated in our hospital from 2014 to. Patient grouping： coin toss. 83 patients were divided into two groups： the traditional first aid group and the minimally invasive first aid group. The traditional emergency treatment group was given emergency e-mergency internal medicine emergency measures; minimally invasive emergency treatment group was given minimally inva-sive emergency internal medicine. Results Compared to the traditional first aid group, the success rate of the minimally in-vasive treatment group was 95.24% higher than that of the traditional first aid group, the traditional first aid group was only 75.61%, among which, significant P〈 0.05. Minimally invasive treatment group than in the traditional emergency group e-mergency lower incidence of complications. Among them, in the control group, 4 cases of pulmonary infection, 2 cases of cerebral edema, 3 cases of hemorrhage of digestive tract, the incidence of 21.95%; observation group 1 cases of pulmonary infection, 1 cases of upper gastrointestinal bleeding, incidence rate of 4.76%, significant difference, P〈 0.05. Conclusion The clinical value of minimally invasive treatment of cerebral hemorrhage patients with minimally invasive surgery is high, can effectively improve the prognosis of patients, reduce the incidence of complications, reduce the mortality rate, it is worth promoting.

关 键 词：脑出血患者 急诊内科 急救措施 临床价值 

分 类 号：R446[医药卫生—诊断学]