【摘要】 对在某院急诊科首诊的264例武汉城区脑卒中患者的就诊时间及就诊时间超过了3h的患者院前延误的原因进行了调查.264例患者中缺血性脑卒中140例,出血性脑卒中124例,发病3h内就诊的缺血性脑卒中48例(34%),3h后就诊者92例(66%);出血性脑卒中3h内就诊者77例(62%),3h后就诊者47例(38%).有院前延误的患者,83%缺血性脑卒中和近60%出血性脑卒中的延误是由患者或其家属主观因素造成的,其根本原因在于人们对脑卒中相关知识尤其是早期症候识别知识的欠缺以及对脑卒中急救意识的淡薄.广泛开展健谈教会,普及脑卒中相关知识,增强人们的急救意识,对减少患者就诊延误有十分重要的意义.更多还原

【Abstract】 264 cases were studied, the intervals between symptom onset and hospital presentation were recorded prospectively, and the causes of pre-hospital delay of patients whose intervals were more than 3 hours were investigated. 140 of 264 patients were ischemic and 124 of 264 hemorrhagic stroke. Only 48 of 140 (34%) ischemic and 77 of 124 (62%) hemorrhagic stroke patients arrived at hospital within 3hrs. Among the causes of pre-hospital delay, 83 % ischemic stroke and almost 60 % hemorrhagic stroke patients were delayed by the subjective factors of the patients or their family, the fundamental reasons for this delay were patients or their family’s lack of awareness about the symptoms of stroke, particularly in the lack of recognition of early signs. In order to reduce the delay in presentation of stroke patients, it must be done to conduct.educational efforts aimed at the public to increase the recgnition of stroke symptoms and popularize the knowledge of first aid for stroke.更多还原