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120与脑外科紧密配合提高脑卒中抢救成功率
引用本文:任玲,钟林,王志芳,刑冬梅,瞿冬煜,卢(犬犬). 120与脑外科紧密配合提高脑卒中抢救成功率[J]. 昆明医学院学报, 2012, 33(6): 96-98
作者姓名:任玲  钟林  王志芳  刑冬梅  瞿冬煜  卢(犬犬)
作者单位:1. 云南省急救中心,云南,昆明,650601
2. 云南省第三人民医院神经内科,云南,昆明,650000
3. 云南省第三人民医院神经外科,云南,昆明,650000
摘    要:目的探讨危重脑出血院前转送最短抢救途径.方法用随机转送、回顾性调查分析120转送484例脑卒中资料.结果院前转送脑卒中有87.2%是危重患者;院前与院内CT诊断比较有明显差异(P<0.05);内科治疗脑梗好转率为96%;危重脑出血外科好转率82%显著好于内科治疗(P<0.01).结论 120能起桥梁作用,缩短转送中间滞留时间.危重脑出血手术治疗好于内科治疗.

关 键 词:院前急救  脑卒中  神经内科  神经外科

Cooperation with 120 and Department of Neurosurgery Improves the First Aid Success Rate of Stroke
REN Ling , ZHAONG Lin , WANG Zhi-fang , XING Dong-mei , QU Dong-yi , LU Biao. Cooperation with 120 and Department of Neurosurgery Improves the First Aid Success Rate of Stroke[J]. Journal of Kunming Medical College, 2012, 33(6): 96-98
Authors:REN Ling    ZHAONG Lin    WANG Zhi-fang    XING Dong-mei    QU Dong-yi    LU Biao
Affiliation:Biao3)(1)The Emergence Center of Yunnan Province,Kunming Yunnan 650601;2)Dept.of Neurology;3)Dept.of Neurosurgery,The Third People’s Hospital of Yunnan Province,Kunming Yunnan 650011,China)
Abstract:Objective Explore the critical brain hemorrhage hospital before forwarding the shortest way of rescue.Methods With random transfer and retrospective analysis by 120 First-aid station,the data of 484 patients with suspected stroke were analysed.Results 87.2% suspected stroke patients by 120 pre-hospital transfer were critical patients.There was obvious difference in diagnosis between with prehospital cases and hospital cases.For cerebral infarction,the improvement rate was 96% at medical ward.For cerebral hemorrhage,the surgical treatment was superior to medical treatment(P<0.01).Conclusions The 120 can play a role as a bridge to shorten the forwarding intermediate residence time.Critical cerebral hemorrhage surgery better than medical treatment.
Keywords:Prehospital First-aid  Stroke  Neurology  Neurosurgery
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