摘要
为了解急性脑卒中患者何时能到达医院和何时能确诊，北京医院、海淀医院、电力医院和房山医院４家医院于１９９４年７月～１９９５年６月共观察了８３３例急性脑卒中患者，并对其来诊时间及行头颅ＣＴ检查确诊的时间进行了分析。结果显示：８３３例中老年５５９例，占６７％，非老年２７４例，占３３％；缺血性卒中患者５９１例（７１％），出血性脑卒中患者２４２例（２９％）。缺血性脑卒中、出血性脑卒中和脑卒中（包括缺血性和出血性脑卒中）患者来诊时间都是以北京医院最短，３小时内分别为３４％、６３％、４３％；６小时内分别为５１％、７７％、５９％；１２小时内分别为７０％、８１％和７３％；２４小时内分别为８１％、９０％和８３％；电力医院次之；海淀医院第三；房山医院第四。各医院缺血性脑卒中患者就诊时间明显晚于出血性脑卒中患者。北京医院缺血性脑卒中患者行ＣＴ检查最及时，３小时内和６小时内分别为２４％和４０％；海淀医院次之，分别为１２％和１８％；房山医院第三，分别为０．９％和１．３％；电力医院最后，分别为０％和９．１％。结论：北京地区即使是大医院，缺血性脑卒中患者６小时内来诊者仅占５０％，而当即行头颅ＣＴ检查确诊者尚不足一半。要对缺血性脑卒中患者进?
Inordertodecreasethedysabilityrateandtreattheischemicaproplecticstrokesasearlyaspossible,thetimeofarrivalsofsuchpatientswithacuteischemicstroke,andthetimeofes-tablishmentsofthedefinitediagnoseswerestudied.833patientswereprospectivelystudiedfromJuly1994toJune1995.ThetimeofearlyarrivalsafteracutestrokesinthehospitalsandthatofmakingCTscanningswererecorded.Amongthe833patientstherewere559elderlypatients,accountingfor67%and,274non-elderlypatients,accountingfor32.9%,whereastheischemicstrokepatientswere591innumber(71%)andthehemorrhagicstrokepatients242(29%).Thetimeratesofearlyarivalsoftheischemic,hemorrhagicandacutestroke(includingthecomebinedischemicandhemor-rhagic)intheBeijingHospitalweretheshortestamongthesefourhospitalswithin3hrs:34%,63%,43%;within6hrs:51%,77%,59%;within12hrs:70%,81%,73%;andwithin24hrs,81%,90%,83%respectively,theDianliStaffWorkersHospitalrankedsecond,theHaidianDistrictHospitalrankedthirdandtheFangshanConutyHospitalrankedthelongest.Thetimeofearlyar-rivalsofacuteischemicstrokewaslongerthanthatofthearivalsofthehemorhagicstrokeinalfourhospitals.CTscanningwasconductedmosttimelyintheBeijingHospital.ThepercentagesofCTscanningwithin3and6hourswere24%and40%respectivelyintheBeijingHospital;theHaidiansecond,DistrictHospitalrankedtheFangshanCountyHospitalrankedthirdandtheDianliStaffworkersHospitalrankedthelongest.IntheBeijingarea,eveninsomeofthelargehospitals,onlyahalfofthepatientswithischemicstrokearrivedatthehospitalswithin6hoursafterthestrokeonsets.ThepatientswhowereexaminedwithCTscanningwithin6hourswerelessthanahalfofthetotal.Itwassuggestedthatagreatdealofwork,suchaspublicandprofessionaleducationintherelatedcommunitiesshouldbedoneandtheratesofcorrectdiagnosisandpropertreatmentshouldberaisedsothatthetreatmentintheultra-earlystagecouldbeundertakentoimprovethetherapeuticeffectsandtodecreasethedisabilityrates.
出处
《中华神经科杂志》
CAS
CSCD
1996年第6期332-335,共4页
Chinese Journal of Neurology
关键词
中风
诊断
CT
CerebrovasculardisordersCT
