60例急诊内科昏迷患者的病因分析  

Cause Analysis of 60 Cases of Coma Patients in the Department of Emergency Internal Medicine

作　　者：梁明[1] 陈星[1] 丛云峰[1] 

机构地区：[1]黑龙江省医院南岗院区急救中心,黑龙江哈尔滨150000

出　　处：《中国卫生产业》2016年第15期52-54,共3页China Health Industry

摘　　要：目的对急诊昏迷患者进行临床诊断,根据诊断分析急诊内科患者的病因。方法该研究选取2014年11月1日—2016年2月1日之间,在该院收治的昏迷患者60例,根据其临床诊断,对患者的病因进行分析。结果心血管病变(心律失常、心肌梗死等)共14例(23.33%),急性中毒(有机磷农药、乙醇、药物中毒等)共25例(41.67%),糖尿病病变(酮症酸中毒、低血糖等)共有10例(16.67%),继发性脑部病变(肺性脑病、肝性脑病等)共有6例(10.0%),其他(电击、溺水等)共有5例(8.33%);昏迷患者经治疗抢救后,50例患者痊愈或好转,治疗有效率为83.33%,10例患者死亡,死亡率为16.67%。其中心血管病患者的治疗有效率为16%,急性中毒患者无一例死亡。结论临床上急性昏迷的原因多种多样,其发病原因会直接影响患者预后,若是能够在早期对患者进行诊断明确病因,可以有效降低死亡率,提高抢救成功率。Objective To diagnose the emergency coma patients in clinic and analyze the cause of patients in the depart-ment of emergency internal medicine according to the diagnosis. Methods 60 cases of coma patients admitted and treated in our hospital from November 1, 2014 to February 1, 2016 were selected as the research objects and causes of the patients were analyzed according to the clinical diagnosis. Results Cardiovascular disease （arrhythmia and myocardial infarction） oc-curred to 14 cases, accounting for 23.33%, acute poisoning （organophosphorus pesticide, ethyl alcohol and drug poisoning） occurred to 25 cases, accounting for 41.67%, diabetic disease （ketoacidosis and glucopenia） occurred to 10 cases, account-ing for 16.67%, secondary brain lesion （pulmonary encephalopathy and hepatic encephalopathy） occurred to 6 cases, ac-counting for 10.0%, and others （electric shock and drowning） occurred to 5 cases, accounting for 8.33%, after treatment and rescue, 50 coma patients were cured and improved, and the treatment effective rate was 83.33%, 10 cases died, and the death rate was 16.67%, the treatment effective rate of patients with angiocardiopathy was 16%, and no patients with acute poisoning died. Conclusion In clinic, there are multiple causes of acute coma, and the cause can directly influence the prognosis of patients, if the causes can be determined by the early diagnosis of patients, the death rate can be effectively re-duced and the rescue success rate can be improved.

关 键 词：昏迷 急诊 病因 

分 类 号：R472.2[医药卫生—急诊医学]