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脑出血是在高血压与动脉硬化的基础上发生的。起病突然,多在情绪激动、剧烈活动、血压大幅度升高时发生的。我市急救中心1995～1999年院外抢救脑出血病人190例,并安全转运173例,效果满意。现报告如下:1 临床资料1.1 年龄 190例中男104例,女86例。年龄在39～82岁,其中39～49岁37例,50～59岁68例,60～69刚50例,70～82岁35例。1.2 地点市内(3公里)164例,市外(3公里～100公里)26例;楼房138例,平房52例。1.3 全脑症状意识障碍148例,头痛呕吐162例,抽搐68例,血压升高160例,瞳孔改变77例,体温改变12例,去脑强直6例,呼吸改变16例。2 院外抢救2.1 常规20％甘露醇250ml 20分钟静注完。有瞳孔改变,呼吸改变和去脑强直者加用速尿40mg～100mg、地塞米松20mg;烦燥不安、抽搐者安定5～10mg 静注;伴呕吐者胃复安10mg 肌注;血压>24.0/13.3kPa利血平1.0mg 肌注或25％硫
Intracerebral hemorrhage occurs on the basis of hypertension and atherosclerosis. Sudden onset, mostly in emotional, intense activity, a substantial increase in blood pressure occurred. The emergency rescue center in our city from 1995 to 1999, 190 cases of hospitalized patients with cerebral hemorrhage and safe translocation of 173 cases, the effect is satisfactory. Now report as follows: 1 clinical data 1.1 age 190 cases, 104 males and 86 females. The age of 39 to 82 years old, of which 39 to 49 years in 37 cases, 50 to 59 years in 68 cases, 60 to 69 just 50 cases, 70 to 82 years in 35 cases. 1.2 Location 164 in the city (3 km) and 26 in the city (3 km to 100 km); 138 buildings and 52 bungalows. 1.3 whole brain symptoms 148 cases of disturbance of consciousness, 162 cases of vomiting headache, convulsions in 68 cases, 160 cases of elevated blood pressure, pupil changes in 77 cases, 12 cases of change in body temperature, brain deformity in 6 cases, 16 cases of respiratory changes. 2 hospital rescue 2.1 routine 20% mannitol 250ml 20 minutes intravenously finished. Have pupil changes, breathing changes and dementia plus furosemide 40mg ~ 100mg, dexamethasone 20mg; irritability, seizure stability 5 ~ 10mg intravenous; with vomiting metoclopramide 10mg intramuscular injection; blood pressure> 24.0 /13.3kPa Reserpine 1.0mg intramuscular injection or 25% sulfur