高血压脑出血急诊抢救现状及进展研究
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摘要
高血压性脑出血临床上发病率较高,病情发展速度较快,致残及致死风险较高,需尽快准确评估病情,开展有效治疗,而一旦未能及时获得有效治疗,可能导致患者死亡,严重威胁患者生命安全。因此了解高血压脑出血急诊抢救相关医学知识十分重要,有助于提高抢救成功率,遏制病情进展,降低死亡风险。本文从高血压脑出血发病现状及发病机制、内科治疗、外科治疗及展望入手,阐述高血压脑出血急诊抢救现状及进展。
Hypertensive intracerebral hemorrhage(HICH) has high clinical incidence, with rapid situation development, high risks of disability and death. It is necessary to assess condition accurately and carry out effective treatment as soon as possible. Not effective treatment in time may cause death and threaten life safety of patients seriously. Therefore, it is important to understand related medical emergency rescue knowledge of hypertensive intracerebral hemorrhage, which may improve rescue success rate, contain disease progress and decrease death risks. Starting from current situation, pathogenesis, medical treatment, surgical treatment and prospects, the paper expounds current situation and emergency rescue progress of hypertensive intracerebral hemorrhage.
Hypertensive intracerebral hemorrhage(HICH) has high clinical incidence, with rapid situation development, high risks of disability and death. It is necessary to assess condition accurately and carry out effective treatment as soon as possible. Not effective treatment in time may cause death and threaten life safety of patients seriously. Therefore, it is important to understand related medical emergency rescue knowledge of hypertensive intracerebral hemorrhage, which may improve rescue success rate, contain disease progress and decrease death risks. Starting from current situation, pathogenesis, medical treatment, surgical treatment and prospects, the paper expounds current situation and emergency rescue progress of hypertensive intracerebral hemorrhage.
引文
[1]付建兵.高血压脑出血的急诊抢救研究[J].深圳中西医结合杂志,2015,25(6):120-121.
[2]李海龙.高血压性脑出血患者院前急诊临床探析[J].广东微量元素科学,2015,22(4):62-64.
[3]古钰荣.急诊抢救护理方法对脑出血患者的重要作用[J].世界最新医学信息文摘(连续型电子期刊),2016,16(31):213,215.
[4]崔庆山.高血压性脑出血患者院前急诊治疗方案及疗效评估[J].世界最新医学信息文摘(连续型电子期刊),2015,15(59):40.
[5]钟姝涵.院前急诊治疗高血压性脑出血患者效果观察[J].内科,2016,11(5):774-775.
[6]彭亮.急诊抢救高血压脑出血患者的临床观察及随机血糖和乳糖脱氢酶与预后的关系分析[J].吉林医学,2017,38(7):1347-1348.
[7]胡明珠.急诊绿色通道在抢救高血压脑出血患者中的应用效果[J].河南医学研究,2017,26(5):855-856.
[8]赵永贵.急诊绿色通道在抢救高血压脑出血患者中的价值分析[J].世界临床医学,2016,10(19):91,95.
[9]张银善,张敏,赵志英,等.微创血肿清除术后结合自拟活血化瘀醒脑汤治疗高血压脑出血疗效观察[J].现代中西医结合杂志,2017,26(25):2781-2783.
[10]刘立根.高血压性脑出血患者院前急诊治疗及临床效果研究[J].现代诊断与治疗,2018,29(4):590-591.
[11]苏冬生.高血压性脑出血患者进行院前急诊治疗方案分析[J].基层医学论坛,2016,20(15):2047-2048.
[12]崔占苹.院前急诊治疗对高血压性脑出血患者预后的影响[J].医疗装备,2017,30(13):87-88.
[13]钟卫民.高血压脑出血患者临床急诊治疗方法探究[J].中国现代药物应用,2017,11(19):34-35.
[14]冯宁.高血压脑出血数据库的建立与脑积水的形成、治疗的临床研究[D].呼和浩特:内蒙古医科大学,2016.
[15]赵桂将.高血压脑出血患者院前急救的近期预后效果观察[J].临床医药文献电子杂志,2018,5(42):30-31.
[16]周玉桂.院前急诊治疗用于高血压性脑出血患者治疗中的临床效果分析[J].临床医药文献电子杂志,2016,3(48):9558-9559.
[17]黄博婷,郑卓双,匡嫦娥.院前急救护理对高血压脑出血患者预后的影响[J].按摩与康复医学,2017,8(10):49-50.
[18]陈旭伟,张剑民.患者亲属的健康教育对高血压脑出血院前抢救的影响[J].中国基层医药,2016,23(22):3512-3515.
[19]曹军.院前抢救对高血压脑出血患者治疗效果及预后的影响[J].河南医学研究,2017,26(6):1108-1109.
[20]陈辉,李永飞,陈锋,等.多针微创穿刺结合持续对冲引流治疗重症高血压脑出血52例[J].中国微创外科杂志,2015,15(10):950-952.
[2]李海龙.高血压性脑出血患者院前急诊临床探析[J].广东微量元素科学,2015,22(4):62-64.
[3]古钰荣.急诊抢救护理方法对脑出血患者的重要作用[J].世界最新医学信息文摘(连续型电子期刊),2016,16(31):213,215.
[4]崔庆山.高血压性脑出血患者院前急诊治疗方案及疗效评估[J].世界最新医学信息文摘(连续型电子期刊),2015,15(59):40.
[5]钟姝涵.院前急诊治疗高血压性脑出血患者效果观察[J].内科,2016,11(5):774-775.
[6]彭亮.急诊抢救高血压脑出血患者的临床观察及随机血糖和乳糖脱氢酶与预后的关系分析[J].吉林医学,2017,38(7):1347-1348.
[7]胡明珠.急诊绿色通道在抢救高血压脑出血患者中的应用效果[J].河南医学研究,2017,26(5):855-856.
[8]赵永贵.急诊绿色通道在抢救高血压脑出血患者中的价值分析[J].世界临床医学,2016,10(19):91,95.
[9]张银善,张敏,赵志英,等.微创血肿清除术后结合自拟活血化瘀醒脑汤治疗高血压脑出血疗效观察[J].现代中西医结合杂志,2017,26(25):2781-2783.
[10]刘立根.高血压性脑出血患者院前急诊治疗及临床效果研究[J].现代诊断与治疗,2018,29(4):590-591.
[11]苏冬生.高血压性脑出血患者进行院前急诊治疗方案分析[J].基层医学论坛,2016,20(15):2047-2048.
[12]崔占苹.院前急诊治疗对高血压性脑出血患者预后的影响[J].医疗装备,2017,30(13):87-88.
[13]钟卫民.高血压脑出血患者临床急诊治疗方法探究[J].中国现代药物应用,2017,11(19):34-35.
[14]冯宁.高血压脑出血数据库的建立与脑积水的形成、治疗的临床研究[D].呼和浩特:内蒙古医科大学,2016.
[15]赵桂将.高血压脑出血患者院前急救的近期预后效果观察[J].临床医药文献电子杂志,2018,5(42):30-31.
[16]周玉桂.院前急诊治疗用于高血压性脑出血患者治疗中的临床效果分析[J].临床医药文献电子杂志,2016,3(48):9558-9559.
[17]黄博婷,郑卓双,匡嫦娥.院前急救护理对高血压脑出血患者预后的影响[J].按摩与康复医学,2017,8(10):49-50.
[18]陈旭伟,张剑民.患者亲属的健康教育对高血压脑出血院前抢救的影响[J].中国基层医药,2016,23(22):3512-3515.
[19]曹军.院前抢救对高血压脑出血患者治疗效果及预后的影响[J].河南医学研究,2017,26(6):1108-1109.
[20]陈辉,李永飞,陈锋,等.多针微创穿刺结合持续对冲引流治疗重症高血压脑出血52例[J].中国微创外科杂志,2015,15(10):950-952.