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

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