急性脑血管病386例临床观察与康复护理(1)
 |
| 第1页 |
参见附件(1509KB，2页)。
【摘要】目的探讨急性脑血管病的临床疗效观察及康复护理。方法对我院386例急性脑血管病例进行分析,其中男215例(55.7%),女71例(44.3%),男女之比1.25:1,年龄36～78岁,以50～65岁为多(253例占65.5%)。其中脑血栓194例(50.2%),脑出血156例(40.4%),蛛网膜下腔出血28例(7.2%)脑栓塞8例(2.1%)采用内科对症药物治疗。结果住院期间死亡49例,出院后24小时内死亡52例,死亡率26%。其中脑血栓9例(8.9%),脑出血88例(87.1%),蛛网膜下腔出血4例(3.9%)。结论脑血管病是人类三个主要致死疾病之一,致残率和病死率相当高。脑血管病康复在它整个治疗体系中是不可缺少的组成部分,早期康复可降低脑血管病患者的致残率,并能提高生活质量。
【关键词】脑出血脑栓塞和血栓形成蛛网膜下腔出血脑动脉疾病
中国分类号:R49 文献标识号:A 文章编号:1005-0515(2010)10-037-02
【Abstract】 Objective To investigate the efficacy of acute cerebrovascular disease observation and rehabilitation care. Methods From 386 patients with acute cerebral vascular analysis of 215 cases were male (55.7%), female 71 cases (44.3%), male to female ratio of 1.25:1, age 36 to 78 years to 65 years to more than 50 (253 cases 65.5%). In which 194 patients with cerebral thrombosis (50.2%), cerebral hemorrhage 156 cases (40.4%), subarachnoid hemorrhage in 28 cases (7.2%) cerebral embolism in 8 cases (2.1%) using symptomatic medical therapy. Results49 patients died during hospitalization, death within 24 hours after discharge from hospital in 52 cases, 26% mortality rate. Including cerebral thrombosis in 9 cases (8.9%), cerebral bleeding in 88 cases (87.1%), subarachnoid hemorrhage in 4 cases (3.9%). Conclusions Cerebrovascular disease is one of the human three major killer diseases, disability and mortality is quite high. Cerebrovascular disease patients in the treatment system, it is an integral part of early rehabilitation can reduce disability in patients with cerebrovascular disease, and improve the quality of life.
【Key words】 cerebral embolism and thrombosis Cerebral hemorrhage Subarachnoid hemorrhage Cerebral artery disease
急性脑血管病在我国是发病率,患病率、死亡率和致残率都很高的一种常见病,多发病,对人类危害极大,故需早期诊断与治疗。尽管“CT”的问世对脑血管病的诊断起着决定性的作用,但由于基层缺乏先进的仪器,病人的经济条件有限而不能完全依赖CT,本文就此问题,根据临床分析以探讨一条简单又准确的诊断方法,现报告如下。
1临床资料与方法
1.1病例选择;本组386例急性脑血管病中,男215例(55.7%),女71例(44.3%),男女之比1.25:1,年龄36～78岁,以50～65岁为多(253例占65.5%)。其中脑血栓194例(50.2%),脑出血156例(40.4%),蛛网膜下腔出血28例(7.2%)脑栓塞8例(2.1%)。
1.2一般资料;急性脑血管病一年四季均有发病,以每年1～3月份和11～12月份较多。本组资料支持急性脑血管发病与气温,气压变化有关观点[1]。
1.3发病诱因与病程,本组资料均有明确的诱因(见表1) ......
您现在查看是摘要介绍页，详见PDF附件(1509KB，2页)。