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目的 :了解急性脑血管病就诊时间的现状 ,为探索缩短患者治疗前延误的措施。方法 :对在本院急诊科就诊的 2 64例急性脑血管病患者的就诊时间和CT诊断时间进行观察。结果 :急性脑血管病 (2 64例 )缺血性脑卒中 (14 0例 )和出血性脑卒中 (12 4例 ) 3h内就诊率分别为 4 7%、3 4%、62 % ,CT诊断率分别为 13 %、10 %、18% ;6h内就诊率分别为 61%、4 6%、78% ,CT诊断率分别为 3 9%、3 3 %、5 0 % ,大多数患者就诊及CT诊断时间超过 6h。缺血性脑卒中就诊时间及CT诊断时间均迟于出血性脑卒中 (P〈0 .0 1)。结论 :急性脑血管病尤其缺血性脑卒中存在明显的治疗前延误 ,大多数患者未能在 6h治疗时间窗内得到紧急救治。
Objective: To understand the current situation of the treatment time for acute cerebrovascular disease and to explore ways to shorten the delay before treatment. Methods: The visit time and CT diagnosis time of 2 64 patients with acute cerebrovascular disease treated in the emergency department of our hospital were observed. Results: The prevalence rates of acute cerebrovascular disease (240 cases) and hemorrhagic stroke (124 cases) within 3 hours were 47%, 34%, 62% respectively, and CT diagnosis The rates of diagnosis were 61%, 46%, 78% respectively in 6 hours. The diagnostic rates of CT were 39%, 33%, 50% respectively. Most of the patients were referred for treatment and CT diagnosis time more than 6h. The time of ischemic stroke and CT diagnosis were both later than hemorrhagic stroke (P <0.01). Conclusion: There are obvious pre-treatment delays in acute cerebrovascular disease, especially ischemic stroke. Most patients fail to get emergency treatment within 6h treatment time window.