胡献礼，刘超侠.江苏省徐州市中心医院急诊科，江苏徐州　009；.江苏徐州医学院 病理生理教研室，江苏徐州　004

探究脑出血患者在急诊内科的急救措施的临床价值

胡献礼1，刘超侠2
1.江苏省徐州市中心医院急诊科，江苏徐州221009；2.江苏徐州医学院 病理生理教研室，江苏徐州221004

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—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，P＜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，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＜0.05。结论 脑出血患者给予急诊内科微创急救措施临床价值高，可有效改善患者预后，减少并发症发生，降低死亡率，值得推广。

脑出血患者；急诊内科；急救措施；临床价值

［Abstract］Objective To study the clinical value of emergency measures in emergency internal medicine in patients with cerebral hemorrhage.Methods Convenient selection 83 cases of cerebral hemorrhage from April 2014 to July 2015 were treated in our hospital from 2014 to.Patient grouping：coin toss.83 patients were divided into two groups：the traditional first aid group and the minimally invasive first aid group.The traditional emergency treatment group was given emergency emergency internal medicine emergency measures；minimally invasive emergency treatment group was given minimally invasive emergency internal medicine.Results Compared to the traditional first aid group，the success rate of the minimally invasive treatment group was 95.24%higher than that of the traditional first aid group，the traditional first aid group was only 75.61%，among which，significant P＜0.05.Minimally invasive treatment group than in the traditional emergency group emergency lower incidence of complications.Among them，in the control group，4 cases of pulmonary infection，2 cases of cerebral edema，3 cases of hemorrhage of digestive tract，the incidence of 21.95%；observation group 1 cases of pulmonary infection，1 cases of upper gastrointestinal bleeding，incidence rate of 4.76%，significant difference，P＜0.05.Conclusion The clinical value of minimally invasive treatment of cerebral hemorrhage patients with minimally invasive surgery is high，can effectively improve the prognosis of patients，reduce the incidence of complications，reduce the mortality rate，it is worth promoting.

［Key words］In patients with cerebral hemorrhage；Emergency internal medicine；First aid；Clinical value

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、意识障碍和失语，等症状［1-2］，为了改善患者预后，需及时采取有效的急救措施。该研究方便选取该院2014年4月—2015年 7月收治的83例脑出血患者进行分组研究，对脑出血患者在急诊内科的急救措施的临床价值进行分析，现报道如下。……