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[目的]探讨突发性脑出血患者急诊救治方法,对患者病情进行评估,评价患者预后。[方法]回顾分析2008年1月～2010年12月我院急诊收治的282例突发性脑出血患者的急救措施,对不同入院时间的患者进行分组,并采用改良早期预警(MEWS)系统评分对突发性脑出血患者病情进行评估及预后比较,比较两组急诊救治后的死亡率等指标。[结果]两组患者出血量(t=2.683,P﹤0.05)、MEWS评分分值(t=4.611,P﹤0.05),死亡率(χ2=5.02,P﹤0.05),并发症发生率比较(χ2=5.56,P﹤0.05),不同MEWS评分分值患者死亡率(χ2=63.94,P﹤0.01),与并发症发生率(χ2=123.88,P﹤0.01)比较差异有统计学意义。[结论]通过改良早期预警(MEWS)系统对突发性脑出血急诊急救进行评估,可以节省时间,预测患者预后,值得临床推广。
[Objective] To explore the emergency treatment of patients with sudden cerebral hemorrhage, assess the patient’s condition and evaluate the prognosis of patients. [Methods] The emergency measures of 282 patients with sudden cerebral hemorrhage treated in our hospital from January 2008 to December 2010 were retrospectively analyzed. Patients at different time of admission were divided into groups and scored by MEWS The patients with sudden cerebral hemorrhage were evaluated and the prognosis was compared, the two groups of emergency treatment mortality indicators were compared. [Results] The bleeding of the two groups (t = 2.683, P <0.05), the score of MEWS (t = 4.611, P <0.05) and the mortality (χ2 = 5.02, (χ2 = 5.56, P <0.05). The mortality of patients with different MEWS score scores was significantly higher than that of the other two groups (χ2 = 63.94, P <0.01). [Conclusion] The evaluation of emergency first aid for sudden cerebral hemorrhage by the Modified Early Warning System (MEWS) can save time and predict the prognosis of patients. It is worthy of clinical promotion.