314例昏迷患者的院前急救  

A study on pre-hospital emergency treatment of 314 comatose patients

作　　者：曾智慧[1] 许志建[1] 陈晓慧[1] 洪春美[2] 

机构地区：[1]漳州市急救中心急救科,福建省漳州363000 [2]漳州市医院急诊科

出　　处：《中华急诊医学杂志》2006年第5期393-395,共3页Chinese Journal of Emergency Medicine

摘　　要：目的探讨内科昏迷患者的病因构成、诊断要点及院前抢救措施。方法对本科2003年9月到2004年9月接诊的314例昏迷患者进行回顾性分析,并对其进行院内跟踪。结果 314例昏迷患者中, 脑卒中119例,各类中毒91例,代谢性疾病42例,心血管疾病37例,其他25例。院前急救好转68例,稳定199例,恶化31例,死亡16例。结论昏迷患者中颅脑疾病和各类中毒占大多数,院前急救中若给予稳定生命征、对症、对因等抢救措施,并与院内积极配合开通脑卒中绿色通道,可显著提高院内的抢救成功率。Objective To study the pathogenesis, the diagnoses and the pre-hospital emergency treatment of comatose patients. Methods 314 comatose patients admitted to our hospital from September 2003 to September 2004 were analyzed retrospectively and followed in the hospital. Results Among 314 comatose patients, 119 had cerebrovascular accidents, 91 with poisoning, 42 with metabolic diseases, 37 cardiovascular diseases and 25 others. After pre-hospital treatment, 68 patients were recovered, 199 with stable conditions, 31 deterioated and 16 died. Conclusion Among the comatose patients, cerebral diseases and poisoning accounted for the most. The pre-hospital treatment could improve the successful rate of rescue.

关 键 词：昏迷 病因构成 院前急救 

分 类 号：R459.7[医药卫生—急诊医学]