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目的探讨建立具有深圳特色的急性脑缺血性卒中救治程序以提高救治效果。方法加强镇级医院医护人员相关技术培训,熟悉救治、转诊流程,加快救治速度,进行急性期超选择性血管内溶栓治疗。并对56例临床资料进行回顾性总结及分析。结果痊愈或良好28例(50%),中残10例(17.9%),重残5例(9.1%),植物生存5例(9.1%),死亡8例(13.9%)。结论建立完善的急性脑缺血性卒中的急救网络,规范镇级医院的紧急处理方案,充分共享医疗技术设备资源,是减少致残致死率的关键。
Objective To explore the establishment of Shenzhen-style acute cerebral ischemic stroke treatment program to improve the treatment effect. Methods To strengthen the relevant technical training of medical staff in the township hospitals, be familiar with the treatment and referral procedures, speed up the treatment, and perform the ultra-selective endovascular thrombolysis in acute stage. 56 cases of clinical data were retrospectively summarized and analyzed. The results were cured or good in 28 cases (50%), in the residual 10 cases (17.9%), severe disability in 5 cases (9.1%), plant survival in 5 cases (9.1%) and death in 8 cases (13.9%). Conclusion Establishing a complete first aid network for acute cerebral ischemic stroke, standardizing the emergency treatment plan in township hospitals and fully sharing the resources of medical technology and equipment are the keys to reducing the lethality rate of disability.