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目的对导致急诊内科患者昏迷的主要原因和急救措施进行分析,为临床治疗提供依据。方法选择84例内科昏迷患者,采用针对性的有效措施进行急救,对导致昏迷的主要原因和救治措施进行分析。结果导致急诊内科患者昏迷的主要原因包括外源性中毒、镇静药物中毒、乙醇中毒、一氧化碳中毒、有机磷农药中毒、不明原因中毒、海洛因中毒。84例患者有77例昏迷症状得到及时有效的纠正,7例死亡,临床急救成功率为91.7%。结论对在急诊内科就诊患者昏迷的原因进行准确及时地了解,对每一类昏迷的临床急救方法充分掌握,进行及时有效的急救,使患者的昏迷症状得到迅速扭转,进一步提高临床急救成功率。
Objective To analyze the main causes and first aid measures of coma caused by emergency medical patients and provide the basis for clinical treatment. Methods Eighty-four patients with medical coma were enrolled in this study. The first-aid measures were taken with targeted and effective measures. The main causes of coma and the treatment measures were analyzed. As a result, the main causes of unconsciousness of emergency medical patients included exogenous poisoning, sedation drug poisoning, alcohol poisoning, carbon monoxide poisoning, organophosphorus pesticide poisoning, unexplained poisoning and heroin poisoning. Of the 84 patients, 77 were coma corrected promptly and effectively, and 7 died. The success rate of first aid was 91.7%. Conclusion Accurate and timely understanding of the causes of unconsciousness of patients in emergency medical treatment, full control of clinical emergency methods for each type of coma, timely and effective first aid, so that patients with coma symptoms can be quickly reversed to further improve the success rate of clinical emergency.