目的：探讨通过卒中绿色通道建立,缩短院内延迟在急性脑梗死静脉溶栓治疗中的临床价值。方法收集2012年9月~2013年8月本科51例急性脑梗死患者接诊后进入卒中绿色通道,在4.5 h内接受重组组织型纤溶酶原激活物（rt-PA）静脉溶栓的急性脑...目的：探讨通过卒中绿色通道建立,缩短院内延迟在急性脑梗死静脉溶栓治疗中的临床价值。方法收集2012年9月~2013年8月本科51例急性脑梗死患者接诊后进入卒中绿色通道,在4.5 h内接受重组组织型纤溶酶原激活物（rt-PA）静脉溶栓的急性脑梗死患者,评价就诊至溶栓时间,溶栓前、溶栓后2 h、14 d NIHSS 评分,溶栓后90 d mRS 评分,并分析危险因素与静脉溶栓预后的相关性。结果51例急性脑梗死患者从接诊至溶栓治疗的平均时间为（62.6±11.7）min,60 min 内接受溶栓治疗24例（47%）,44例完全或部分好转出院,院内延迟时间（DNT）〈62.6 min 组和〉62.6 min 组的 NIHSS 和 mRS 评分的差异明显（P 〈0.05）,即 DNT≤62.6 min 组预后较好。结论卒中绿色通道建立可有效缩短院内延迟时间,增加急性脑梗死患者溶栓治疗机会,具有较高的临床应用价值。展开更多
BACKGROUND： Acute poisoning is frequently encountered at emergency department. This study was to investigate the epidemiology and characteristics of patients with acute poisoning who were treated at the Emergency Cen...BACKGROUND： Acute poisoning is frequently encountered at emergency department. This study was to investigate the epidemiology and characteristics of patients with acute poisoning who were treated at the Emergency Center, Fujian Provincial Hospital, China.METHODS： We retrospectively analyzed the gender, age, causes of poisoning, types of poisons, poisoning route, emergency diagnoses, outcomes, and prognoses of these patients.RESULTS： Altogether 2867 patients with acute poisoning were treated from January 2004 to December 2009. The ratio of male to female was 1：1.04, and their average age was 33.8 years. Of the 2867 patients, 76.39% were between 18 and 40 years old. The incidence of acute poisoning was as high as 11.33% in January each year. The incidence of poisoning was in a descending order： alcohol poisoning （54.55%）, medication poisoning （25.95%）, pesticide poisoning （5.65%）, and drug poisoning （4.88%）. Most （56.44%） of the patients with drug poisoning were under 25 years and their mean age was significantly lower than that of patients with medication poisoning or alcohol poisoning （P 〈 0.01）. Approximately 69.54% of the patients were followed up after emergency treatment, 30.39% were hospitalized, and four patients died.CONCLUSION： Acute poisoning is largely alcohol poisoning and medication poisoning in a city. The emergency green channel ＂pre-hospital emergency care-emergency department-hospital treatment＂ can significantly improve the survival rate of patients with acute poisoning.展开更多
文摘目的：探讨通过卒中绿色通道建立,缩短院内延迟在急性脑梗死静脉溶栓治疗中的临床价值。方法收集2012年9月~2013年8月本科51例急性脑梗死患者接诊后进入卒中绿色通道,在4.5 h内接受重组组织型纤溶酶原激活物（rt-PA）静脉溶栓的急性脑梗死患者,评价就诊至溶栓时间,溶栓前、溶栓后2 h、14 d NIHSS 评分,溶栓后90 d mRS 评分,并分析危险因素与静脉溶栓预后的相关性。结果51例急性脑梗死患者从接诊至溶栓治疗的平均时间为（62.6±11.7）min,60 min 内接受溶栓治疗24例（47%）,44例完全或部分好转出院,院内延迟时间（DNT）〈62.6 min 组和〉62.6 min 组的 NIHSS 和 mRS 评分的差异明显（P 〈0.05）,即 DNT≤62.6 min 组预后较好。结论卒中绿色通道建立可有效缩短院内延迟时间,增加急性脑梗死患者溶栓治疗机会,具有较高的临床应用价值。
文摘BACKGROUND： Acute poisoning is frequently encountered at emergency department. This study was to investigate the epidemiology and characteristics of patients with acute poisoning who were treated at the Emergency Center, Fujian Provincial Hospital, China.METHODS： We retrospectively analyzed the gender, age, causes of poisoning, types of poisons, poisoning route, emergency diagnoses, outcomes, and prognoses of these patients.RESULTS： Altogether 2867 patients with acute poisoning were treated from January 2004 to December 2009. The ratio of male to female was 1：1.04, and their average age was 33.8 years. Of the 2867 patients, 76.39% were between 18 and 40 years old. The incidence of acute poisoning was as high as 11.33% in January each year. The incidence of poisoning was in a descending order： alcohol poisoning （54.55%）, medication poisoning （25.95%）, pesticide poisoning （5.65%）, and drug poisoning （4.88%）. Most （56.44%） of the patients with drug poisoning were under 25 years and their mean age was significantly lower than that of patients with medication poisoning or alcohol poisoning （P 〈 0.01）. Approximately 69.54% of the patients were followed up after emergency treatment, 30.39% were hospitalized, and four patients died.CONCLUSION： Acute poisoning is largely alcohol poisoning and medication poisoning in a city. The emergency green channel ＂pre-hospital emergency care-emergency department-hospital treatment＂ can significantly improve the survival rate of patients with acute poisoning.
