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目的:探讨急诊内科昏迷病人的病因诊断及急救措施,提高抢救的成功率。方法:回顾性分析2013年3月到2013年9月,在我院急诊内科接受治疗的昏迷患者200例,对其抢救资料进行分析探讨。结果:200例昏迷患者当中,急性中毒患者占35%,其中急性酒精中毒患者占25%,而且多以40岁以下人群为主;脑卒中患者占44.5%;糖尿病并发症患者占33%,多以中老年人为主。急诊内科患者发生昏迷的主要病因是:青年人中毒比例多,中老年人脑卒中比例最大,糖尿病并发症比例也占较大比例。结论:参考患者发生昏迷的原因,可以使主治医生尽快明确病因诊断,使患者得到及时救治,对提高患者的抢救成功率有很重要的意义,可以降低患者的死亡率,提高患者的生命质量。
Objective: To investigate the etiological diagnosis and first aid measures of patients in coma of emergency medicine and to improve the success rate of rescue. Methods: From March 2013 to September 2013, 200 cases of unconscious patients receiving emergency treatment in our hospital were analyzed retrospectively. The rescue data were analyzed and discussed. Results: Of the 200 comatose patients, 35% were acute poisoning patients, 25% were acute alcoholism patients, and were mostly under 40 years old; stroke patients accounted for 44.5%; diabetic complications accounted for 33%, and more Mainly in the elderly. The main causes of coma in emergency medical patients are: the proportion of young people poisoned more, the proportion of stroke in middle-aged and elderly is the largest, and the proportion of diabetic complications also accounts for a large proportion. Conclusion: Reference to the causes of unconscious patients can make the doctor as soon as possible a clear diagnosis of etiology, so that patients receive timely treatment, to improve the success rate of patients with rescue is very important to reduce patient mortality and improve patient quality of life.