急诊内科抢救327例昏迷患者的急救体会  

Experience of Emergency Internal Medicine Emergency Rescue of 327 Cases of Coma Patients

作　　者：张欢[1] 杨江涛[1] 涂亚丽[1] 

机构地区：[1]重庆市肿瘤研究所急诊科,重庆400030

出　　处：《医学综述》2015年第3期552-553,555,共3页Medical Recapitulate

摘　　要：目的探讨昏迷患者的病因及其救治方法。方法回顾性分析重庆市肿瘤研究所急诊科2011年1月至2013年7月收治的327例昏迷患者的临床资料,分析其病因及抢救方法。结果 327例患者中,各类中毒共60例,占18.3%,代谢性疾病共72例,占22.0%,颅脑疾病共117例,占35.8%,心血管疾病共58例,占17.7%,物理性损害20例,占6.1%。经抢救后,病情好转81例,稳定166例,恶化65例,死亡15例,病死率为4.6%。结论急诊内科昏迷患者早期明确诊断以及有效的急救措施可提高昏迷患者抢救成功率。Objective To investigate the etiology and treatment of coma patients. Methods The clinical data of 327 cases of coma admitted to department of emergency,Chongqing Cancer Institute from Jan. 2011 to Jul. 2013 was retrospectively analyzed to summarize the causes and treatment methods. Results Among the 327 cases,there were 60 cases of various types of poisoning,accounting for 18. 3%,there were 72 cases of metabolic diseases,accounting for 22. 0%,there were 117 cases of brain disease,accounting for 35. 8%,there were 58 cases of cardiovascular disease,accounting for 17. 7%,and 20 cases of physical damage（ 6. 1%）. After rescue,the condition was improved in 81 cases,was stable in 166 cases,was deteriorated in 65 cases,and 15 cases died,the mortality was 4. 6%. Conclusion Early diagnosis and effective emergency measures can improve the rescue success rate of coma patients.

关 键 词：昏迷 急诊内科 急救 

分 类 号：R256.24[医药卫生—中医内科学] R459.7[医药卫生—中医学]