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目的:探讨基层医院快速有效的对重症高血压性脑出血病人院前救护对提高病人抢救成功率的重要性。方法:对急诊科2008年1月～2011年12月收治的166例病人分成2组。院前急救病人为观察组,家属自行送入医院的为对照组,统计入院抢救后24小时内死亡人数。结果:经院前救护的106例中死亡18例,死亡率17%,未经院前救护家属自行送入的60例中死亡26例,死亡率43%。结论:经过院前急救措施处置的重症高血压性脑出血病人死亡率与未经院前处置的病人死亡率差异有统计学意义(P<0.01),说明院前急救、安全转送是降低重症高血压性脑出血院前死亡率,提高抢救成功率的关键。
OBJECTIVE: To investigate the importance of prehospital ambulance for patients with severe hypertensive intracerebral hemorrhage (ICH) to improve the success rate of patient salvage in primary hospitals. Methods: A total of 166 patients admitted to the emergency department from January 2008 to December 2011 were divided into two groups. Prehospital emergency patients for the observation group, family members into the hospital for the control group, statistical hospital rescue within 24 hours after the death toll. Results: Among the 106 premedicated patients, 18 were dead and the mortality rate was 17%. Of the 60 patients who had not been hospitalized by their prenatal care, 26 were dead and the death rate was 43%. Conclusion: The mortality rate of patients with severe hypertensive intracerebral hemorrhage treated by pre-hospital emergency measures was significantly different from that of patients without pre-hospital treatment (P <0.01), indicating that prehospital first aid and safe transfer are the measures to reduce severe hypertension Premenstrual mortality of cerebral hemorrhage, improve the success rate of the key to rescue.