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目的总结内科昏迷患者的病因、诊断与急救措施,探索有效的临床抢救方法。方法回顾性分析2008年6月~2011年3月本院急诊内科治疗的82例昏迷患者的临床资料。结果 82例患者中昏迷原因为脑血管疾病27例,代谢性脑病21例,急性中毒19例,心血管疾病13例,其他2例。70例抢救成功,约占85.4%;12例死亡,其中院前死亡4例,病死率约14.6%。结论急诊内科昏迷患者病因多样,死亡率较高,临床医师应加强对昏迷的综合分析和处理能力,早期确诊,及时有效的治疗,可提高抢救成功率。
Objective To summarize the etiology, diagnosis and emergency measures of patients with medical coma, and to explore effective clinical rescue methods. Methods The clinical data of 82 coma patients in our hospital from June 2008 to March 2011 were retrospectively analyzed. Results 82 cases of coma cause of cerebrovascular disease in 27 cases, metabolic encephalopathy in 21 cases, 19 cases of acute poisoning, cardiovascular disease in 13 cases, the other 2 cases. Seventy patients were successfully rescued, accounting for 85.4%. Twelve died, including 4 deaths in hospital and a case fatality rate of 14.6%. Conclusions There are many causes of coma in emergency department and the mortality rate is high. Clinicians should strengthen the comprehensive analysis and treatment of coma, early diagnosis and timely and effective treatment, which can improve the success rate of rescue.