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1、探究脑出血患者在急诊内科的急救措施的临床价值[摘要]目的研究脑出血患者在急诊内科的急救措施的临床价值。方法方便选取试验对象:该院2014年4月一2015年7月收治的83例脑出血患者。患者分组方法:掷硬币法。83例患者分为传统急救组和微创急救组两个组别。传统急救组给予急诊内科开颅急救措施;微创急救组给予急诊内科微创急救措施。观察指标:①抢救成功率;②急救并发症发生率。结果微创急救组相比于传统急救组抢救成功率95.24%更高,传统急救组仅为75.61%,差异有统计学意义,卩〈0.05。微创急救组相比于传统急救组急救并发症发生率更低,其中
2、,对照组有4例肺部感染,2例脑水肿,3例上消化道出血,发生率21.95%;观察组有1例肺部感染,1例上消化道出血,发生率4.76%,差异有统计学意义,P<0.05o结论脑出血患者给予急诊内科微创急救措施临床价值高,可冇效改善患者预后,减少并发症发生,降低死亡率,值得推广。[关键词]脑出血患者;急诊内科;急救措施;临床价值[中图分类号]R446[文献标识码]A[文章编号]1674-0742(2016)07(a)-0000-02[Abstract]ObjectiveTostudytheclinicalvalueofemergencyme
3、asuresinemergencyinternalmedicineinpatientswithcerebralhemorrhage.MethodsConvenientselect!on83casesofcerebralhemorrhagefromApril2014toJuly2015weretreatedinourhospitalfrom2014to.Patientgrouping:cointoss.83patientsweredividedintotwogroups:thetraditionalfirstaidgroupandth
4、eminimallyinvasivefirstaidgroup.Thetraditionalemergencytreatmentgroupwasgivenemergencyemergencyinternalmedicineemergencymeasures;minimallyinvasiveemergencytreatmentgroupwasgivenminimallyinvasiveemergencyinternalmeclicine.ResultsComparedtothetraditionalfirstaidgroup,the
5、successrateoftheminimallyinvasivetreatmentgroupwas95.24%higherthanthatofthetraditionalfirstaidgroup,thetraditionalfirstaidgroupwasonly75.61%,amongwhich,significantP<0.05・Minimallyinvasivetreatmentgroupthaninthetraclitiorialemergencygroupemergencylowerincidenceofcomplic
6、ations.Amongthem,inthecontrolgroup,4casesofpulmonaryinfection,2casesofcerebraledema,3casesofhemorrhageofdigestivetfact,theincideneeof21.95%;observationgroup1casesofpulmonaryinfection,1casesofuppergastrointestinalbleeding,incideneerateof4.76%,significantdifference,P<0.0
7、5.ConclusionTheclinicalvalueofminimallyinvasivetreatmentofcerebralhemorrhagepatientswithminimallyinvasivesurgeryishigh,caneffectivelyimprovetheprognosisofpatients,reducetheincidenceofcomplications,reducethemortalityrate,itisworthpromoting.Keywords]Inpatientswithcerebra
8、lhemorrhage;Emergencyinternalmedicine;Firstaid;Clinicalvalue脑出血为常见临床急症,于中老年人中发病率高,属于脑部严重并发症,发病快,致残率和致死率均比较高,患者可出现肢体偏瘫