急诊内科昏迷患者216例临床分析  

Emergency Medicine Clinical analysis of 216 cases of comatose patients

作　　者：贾长海[1] 

机构地区：[1]四川省成都市第一人民医院,610041

出　　处：《医学信息（下旬刊）》2010年第12期18-19,共2页Medical information

摘　　要：目的：探讨急诊内科昏迷患者的病因、诊断及急救措施。方法：收集我院2008年4月至2010年4月急诊科收住的216例昏迷急诊入院患者，对其病因构成、临床症状以及治疗方法等进行回顾性分析。结果：216例昏迷患者中，脑出血（15．7％）、酒精中毒（15．3％）、低血糖昏迷（12．5％）、药物中毒（10．2％）和海洛因中毒（7．4％）为最常见的五个原因，而脑梗死、源性昏迷以及脑出血昏迷的死亡率最高，分别为53．9％、50．0％和47．1％。170例（78．7％）抢救成功，46例（21．3％）死亡。结论：昏迷患者的诊断要抓住疾病的本质，抢救处理要抓住危及生命的关键问题，积极预防多脏嚣功能衰竭，保持生命体征平稳，减少病死率。Objective： To investigate the cause of coma patients of emergency medicine, diagnosis and first aid measures. Methods： The etiology, clinical symptoms and treatment methods of 216 cases of coma patients which admitted to our hospital from April 2008 to April 2010 were reviewed. Re- suits, The tive most common causes of coma were cerebral hemorrhage （15.7~）, alcoholism （15.3%）, low blood sugar coma （12.5%）, drug poisoning （10.2%） and heroin intoxication （7.4%） respectively. The death rates of cerebral infarction, cardiac coma and cardiogenie cerebral hemorrhage coma were highest, with 53.9%, 50.0%and 47.1% respectively. 170 cases （78.7%） rescued, 46 patients （21.3%） died. Conclusion： The diagnosis of coma patients should grasp the essence of the disease; and the rescue should deal with life--threatening issues;by actively preventing multiple organ failure and maintaining stable vital signs at the same time, the mortality could be educed.

关 键 词：昏迷 内科 病因 诊断 治疗 

分 类 号：R741[医药卫生—神经病学与精神病学]