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对在某院急诊科首诊的264例武汉城区脑卒中患者的就诊时间及就诊时间超过了3h的患者院前延误的原因进行了调查.264例患者中缺血性脑卒中140例,出血性脑卒中124例,发病3h内就诊的缺血性脑卒中48例(34%),3h后就诊者92例(66%);出血性脑卒中3h内就诊者77例(62%),3h后就诊者47例(38%).有院前延误的患者,83%缺血性脑卒中和近60%出血性脑卒中的延误是由患者或其家属主观因素造成的,其根本原因在于人们对脑卒中相关知识尤其是早期症候识别知识的欠缺以及对脑卒中急救意识的淡薄.广泛开展健谈教会,普及脑卒中相关知识,增强人们的急救意识,对减少患者就诊延误有十分重要的意义.
Investigation of the causes of pre-hospital delay in 264 cases of stroke in Wuhan urban area, which were first diagnosed in an emergency department of a hospital, and the reasons for the delay in hospital stay beyond 3 hours were reviewed.240 cases of ischemic stroke in 140 cases, hemorrhagic Among the 124 stroke patients, 48 (34%) were ischemic stroke patients within 3 hours of onset, 92 (66%) were treated after 3 hours, 77 (62%) were treated within 3 hours after hemorrhagic stroke, 47 cases (38%) were treated.The delay in patients with prehospital, 83% ischemic stroke and nearly 60% hemorrhagic stroke was caused by the subjective factors of patients or their families, Stroke-related knowledge, especially the lack of knowledge of early recognition of symptoms and the weak sense of emergency awareness of stroke.Widely talked about the church to popularize stroke-related knowledge and enhance people’s awareness of first aid, reducing the delay in treatment of patients is of great significance.