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目的:探讨脑出血患者在急诊内科的急救措施。方法:回顾性分析梁平县人民医院2013年9月至2015年8月收治的72例脑出血患者的临床资料,根据急救措施的差异分为观察组(微创开颅引流)和对照组(常规开颅)各36例,对比两组患者的急救效果及并发症发生情况。结果:观察组和对照组相比,观察组患者的抢救成功率(100%>91.7%)高于对照组,而并发症发生率(8.3%<19.4%)则低于对照组,差异具有统计学意义(P<0.05)。经急救后,观察组和对照组对比,观察组在住院时间(12.3±3.9)d<(18.4±3.1)d、意识恢复时间(52.5±13.4)h<(18.4±3.1)h、颅内压恢复时间(32.2±8.5)h<(44.6±11.2)h以及神经功能缺损评分(12.6±2.6)分<(19.1±3.4)分等方面均低于对照组,差异具有统计学意义(P<0.05)。结论:在脑出血患者的急诊内科急救中,选择微创开颅引流作为急救措施,其急救效果明显优于传统急诊外科开颅手术,提高脑出血患者的生存质量。
Objective: To investigate the emergency treatment of patients with cerebral hemorrhage in emergency department of internal medicine. Methods: The clinical data of 72 patients with cerebral hemorrhage admitted from September 2013 to August 2015 in Liangping County People’s Hospital were retrospectively analyzed. According to the difference of first aid measures, the patients in observation group (minimally invasive craniotomy) and control group Craniotomy) in 36 cases, compared the first-aid efficacy and complications of two groups of patients. Results: Compared with the control group, the rescue success rate (100%> 91.7%) in the observation group was significantly higher than that in the control group, while the incidence of complications (8.3% <19.4%) was lower than that in the control group Significance (P <0.05). After emergency, the observation group and control group, the observation group in hospital (12.3 ± 3.9) d (18.4 ± 3.1) d, consciousness recovery time (52.5 ± 13.4) h (18.4 ± 3.1) h, intracranial pressure Recovery time (32.2 ± 8.5) h <(44.6 ± 11.2) h and neurological deficit score (12.6 ± 2.6) points <(19.1 ± 3.4) scores were lower than the control group, the difference was statistically significant (P <0.05 ). Conclusion: In the first aid of intracranial hemorrhage, the minimally invasive craniotomy drainage is the first aid and the first aid is better than the traditional emergency surgical craniotomy to improve the quality of life of patients with cerebral hemorrhage.