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目的探讨急性脑卒中患者院前急救的重要性、必要性及应注意的问题。方法对本院80例急性脑卒中患者进行院前急救。结果本组患者除1例因出血部位深,出血量较大,继发并发症,现场抢救无效死亡,其他79例经现场抢救病情相对稳定后全部转送医院治疗,入院时病情稳定或有所好转,无因转送而致病情加重或死亡病例发生。遗留神经功能障碍6例,并发肺部感染4例,肾衰1例。结论急性脑卒中患者的院前急救尤为重要,接到急救任务应迅速出车,快速而准确的病情判断是抢救成功的前提和关键,病情估计与抢救护理应同时进行,才能最大限度地降低其病残率及死亡率。
Objective To study the importance and necessity of prehospital emergency care in patients with acute stroke and the problems to be noticed. Methods 80 cases of acute stroke patients in our hospital for pre-hospital care. Results In this group of patients, one patient died of bleeding due to deep bleeding and secondary complications. The other 79 patients died of on-site rescue. The other 79 patients were transferred to the hospital for treatment after being relatively stable. The patients were stable or improved on admission , No transfer due to illness or death occurred. 6 cases of left neurological dysfunction, pulmonary infection in 4 cases, 1 case of renal failure. Conclusions Prehospital first aid is particularly important in patients with acute stroke. Emergency tasks should be promptly dispatched from the vehicle. A quick and accurate diagnosis of the condition is the prerequisite and key to the success of the rescue. Estimation of the condition and rescue and care should be carried out concurrently so as to minimize its impact Morbidity and mortality.