2023年07月24日
第05版:健康鄲城 PDF版

縣中心醫(yī)院

一天搶救4位腦?;颊?/h2>

本報(bào)訊 (記者 徐松 通訊員 李明 文/圖) 7月17日,對于鄲城縣中心醫(yī)院卒中中心的醫(yī)護(hù)人員來說,是緊張忙碌的一天。這一天,該中心溶栓救治4位急性卒中患者,刷新了紀(jì)錄。其中,年齡最大的患者93歲(如圖)。

93歲高齡的患者突然出現(xiàn)左側(cè)肢體無力、行走不穩(wěn),家屬緊急撥打120急診入院,120接診醫(yī)生立即一鍵啟動卒中急救“綠色通道”,在急救車上將患者病情、心電圖實(shí)時(shí)傳遞給卒中中心,在卒中中心醫(yī)師的指導(dǎo)下完成預(yù)談話,讓病人及家屬了解病情,了解靜脈溶栓治療的意義及獲益。

由于前期工作做得扎實(shí),患者入院達(dá)到“零等待”,專家當(dāng)即開展聯(lián)合會診,用最快、最優(yōu)的流程,對院前急救到院內(nèi)急救每個環(huán)節(jié)精確到分鐘,為患者爭取黃金救治時(shí)間,提高了急性卒中的搶救成功率。當(dāng)天,又有3位急性卒中患者入院,通過溶栓療法得到妥善救治。

該院當(dāng)天成功救治的4位患者從入院到開始靜脈溶栓平均時(shí)間僅24分鐘,讓患者和家屬深切感受到中心醫(yī)院卒中中心的速度和應(yīng)急救治能力。溶栓后,4位患者的神經(jīng)功能缺損癥狀都得到明顯改善,目前在神經(jīng)內(nèi)科二病區(qū)接受后續(xù)治療。

自該院卒中中心成立以來,擁有一支專業(yè)的靜脈溶栓團(tuán)隊(duì),通過多學(xué)科緊密協(xié)作,24小時(shí)處于備戰(zhàn)狀態(tài),為急性腦梗死、腦出血、蛛網(wǎng)膜下腔出血等急性卒中的急危重癥患者提供快速診療通道。

該院卒中中心每月定期召開質(zhì)量分析會,按照卒中相關(guān)診療指南、技術(shù)操作規(guī)范,優(yōu)化流程,并及時(shí)回顧分析溶栓病例,反饋得失,從院前評估到院內(nèi)綠色通道,使流程多環(huán)節(jié)能夠同步進(jìn)行、環(huán)環(huán)相扣,真實(shí)做到“無縫對接”的一鍵啟動搶救模式,縮短延誤時(shí)間。目前,已有大量的腦卒中患者獲益,在救治后能夠回歸日常生活。

該院將繼續(xù)以滿足群眾健康需求為出發(fā)點(diǎn),不斷完善、優(yōu)化腦卒中診療體系和就診流程,使患者可以獲得精準(zhǔn)、快捷和規(guī)范的治療,降低卒中患者的死亡率、致殘率,為區(qū)域內(nèi)腦血管疾病患者打造出一張生命救治網(wǎng)絡(luò)。②25

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