目的：探讨院前急救对急性脑出血患者预后的影响和意义。方法：回顾性分析2012年7月-2013年7月经本中心下属7个分站所救治后送入院内的118例（使用 EMS 组）和未经院前急救自行送入院的82例（未使用 EMS 组）急性脑出血患者的临床资料，并对其进行临床观察随访30天，比较两组患者的治疗效果和病死率。结果：使用EMS 组患者的48 h 内的病死率7．6％明显低于未使用 EMS 组的25．6％（＜0．05），但两组48 h-30d 的病死率差异无统计学意义（P ＞0．05）。结论：对急性脑出血患者进行院前急救能明显降低其近期的病死率并有可能改善预后。%Objective: To explore the influence and clinical significance of Pre-hospital Emergency Medical Service (PEMS) for prognosis of acute intracerebral hemorrhage. Methods: The clinical data of 200 patients with acute intracerebral hemorrhage were analyzed retrospectively from Jul 2012 to Jul 2013 , 118 of whom were given PEMS by 7 independent first-aid stations of Shanghai Medical Emergency Center before been transmitted to hospital , and the other 82 cases were taken to hospital without PEMS. The 200 cases were followed up and recorded for 30 days. The treatment affection and fatality rates were compared between the two groups. Results: The fatality rate within 48 hours in PEMS group was significantly lower than that in the no PEMS group (7.6% vs 25.6%, P < 0.05), but the fatality rates from 48 hours to 30 days proved no significant difference between the two groups (P > 0.05). Conclusion: Effective and timely PEMS could help to reduce the fatality rate of patients with acute intracerebral hemorrhage and improve prognosis.
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