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目的:探讨急性脑卒中患者院前急救与转运存在的问题和改进策略。方法:回顾性分析2010年1月至2011年6月珠海市120接诊的559例急性脑卒中患者院前急救与转运的临床资料。结果:553例经现场抢救病情相对稳定后安全转送到医院进一步治疗,其中行溶栓治疗27例;1例转运至急诊科后抢救无效死亡,现场抢救无效死亡5例。结论:院前急救人员要高度重视急性脑卒中患者的院前急救与转运,把握好转运时机,最大限度地降低急性脑卒中患者的病残率及死亡率。
Objective: To investigate the problems and improvement strategies of prehospital first aid and transport in acute stroke patients. Methods: The clinical data of 559 patients with acute stroke in Zhuhai from January 2010 to June 2011 were retrospectively analyzed. Results: 553 patients were safely transferred to the hospital for further treatment after rescue on-site, of which 27 cases were treated by thrombolytic therapy. One patient died after being transported to the emergency department, and died in 5 cases. Conclusion: Pre-hospital emergency personnel should pay more attention to pre-hospital emergency care and transportation in patients with acute stroke, and grasp the timing of transit to minimize the morbidity and mortality of patients with acute stroke.