动脉瘤性蛛网膜下腔出血后再出血的急诊专科化护理经验

doi:10.3969/j.issn.1009-976X.2017.04.033

岭南现代临床外科 ›› 2017, Vol. 17 ›› Issue (04): 504-505.DOI: 10.3969/j.issn.1009-976X.2017.04.033

动脉瘤性蛛网膜下腔出血后再出血的急诊专科化护理经验

梁妙丹赵丽华雷林芳

中山大学附属第三医院

通讯作者: 梁妙丹

Critical special care reduce early rebleeding after aneurysmal subarachnoid hemorrhage

LIANG Miaodan, ZHAO Lihua, LEI Linfang

Department of Emergency, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.

Online:2017-08-20 Published:2017-08-20

摘要/Abstract

摘要：

目的探讨急诊专科化护理在预防和减少动脉瘤性蛛网膜下腔出血后再出血的影响。方法回顾分析我院2012年1月～2015年12月之间96例急诊接受专科化护理干预措施的动脉瘤性蛛网膜下腔出血患者术前再出血的临床资料。结果 96例患者中有10签字后转院治疗，30例发病6h内接受手术治疗，其余56例则在72h内接受手术。共有14例患者出现病情加重，其中6例出现再出血，再出血率6.3%。结论对于急诊就诊动脉瘤性蛛网膜下腔出血患者尽早开启专科化护理，有助于减少术前再出血的发生。

关键词: 专科化护理, 急诊护理, 动脉瘤性蛛网膜下腔出血

Abstract:

Objective To analyze the effect of critical special care in preventing and reducing the rebleeding after aneurysmal subarachnoid hemorrhage. Methods Retrospective analysis of 96 patients with aneurysmal subarachnoid hemorrhage received critical special care from January 2012 to December 2015. Results Of 96 cases, ten patients signed out of the hospital, 30 patients received operation within 6 h after onset while other patients within 72 h. A total 14 patients got worse, and 6 of them underwent rebleeding. Conclusions Early critical special care can reduce rebleeding after aneurysmal subarachnoid hemorrhage.

Key words: critical care, aneurysmal subarachnoid hemorrhage, special care

中图分类号:

R473.6

梁妙丹赵丽华雷林芳. 动脉瘤性蛛网膜下腔出血后再出血的急诊专科化护理经验[J]. 岭南现代临床外科, 2017, 17(04): 504-505.

LIANG Miaodan, ZHAO Lihua, LEI Linfang. Critical special care reduce early rebleeding after aneurysmal subarachnoid hemorrhage [J]. Lingnan Modern Clinics in Surgery, 2017, 17(04): 504-505.

[1]	杨与敏，刘之彝，龙晓东，李爱国，李凤，秦兴虎. 终板造瘘对动脉瘤性蛛网膜下腔出血导致慢性脑积水的疗效[J]. 岭南现代临床外科, 2019, 19(03): 321-328.
[2]	何竞斯1，刘妲2，谭晓穗1，关跃聪1. 动脉瘤性蛛网膜下腔出血后持续腰大池引流的时机对分流依赖性脑积水的影响[J]. 岭南现代临床外科, 2018, 18(04): 438-440.

动脉瘤性蛛网膜下腔出血后再出血的急诊专科化护理经验

Critical special care reduce early rebleeding after aneurysmal subarachnoid hemorrhage

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