目的：探讨基层医院院前急救及多通道合作对蛛网膜下腔出血的病因诊断及疗效的影响，初步分析预后的影响因素。方法回顾性分析2012年8月～2014年8月间，行院前急救及多通道合作救治的37例蛛网膜下腔出血患者资料。对其行院前急救，安全转送至医院后，统计患者院前急救及转运结局、发病至医院急诊时间及患者预后；统计患者年龄、高血压史、糖尿病史等一般信息，行多因素回归分析，明确患者预后的影响因素。结果院前急救期间死亡3例，余34例均安全转送入院，发病至医院急症时间平均（3.2±0.4）h。转诊治疗7例，死亡0例、再出血1例；非转诊治疗27例，均行保守治疗，死亡3例、再出血4例。患者预后与年龄、高血压史、转运与否、发病至医院急诊时间显著相关（P＜0.05）。结论院前急救及多通道合作是基层医院处理蛛网膜下腔出血的有效方案；患者预后与其年龄、既往史等一般资料密切相关，临床救治必须重视此类信息。%ObjectiveTo explore the effect of primary hospital ifrst-aid and multi-channel cooperation on etiological diagnosis and curative effect of subarachnoid hemorrhage, a preliminary analysis of the inlfuence factors of prognosis.MethodsRetrospective analysis of 2012 August to 2014 August, for pre hospital emergency care and multi channels of cooperation in treatment of 37 cases of subarachnoid hemorrhage patients data. In the pre hospital emergency care, safety and transferred to the hospital, and statistics were pre hospital emergency care and transport outcome, onset to hospital emergency time and the prognosis of the patients, statistical patient age, history of hypertension, history of diabetes and other general information, analysis for multiple factors regression, the factors affecting the prognosis of patients with clear.Results The prehospital period 3 cases of death, the remaining 34 cases security transfer admission, onset to hospital emergency time average (3.2±0.4) h. Referral for treatment of 7 cases, 0 cases of death, 1 cases rebleeding, non referral treated 27 cases underwent conservative treatment, 3 cases of death, 4 cases rebleeding. The prognosis of patients with significant correlation with age, hypertension history, transfer or not, onset to hospital emergency time (P<0.05). ConclusionPrehospital and multi-channel cooperation is the primary hospital treatment effective scheme arachnoid subarachnoid hemorrhage; prognosis of patients with general information age, previous history is closely related to the clinical treatment must pay attention to such information.
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