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目的分析导致急诊内科昏迷患者的病因，并且观察其临床疗效。方法选择我院内科急诊进行治疗的昏迷患者共计126例。患者入院后进行急诊抢救，观察患者的病因、影响因素以及预后情况。结果126例昏迷患者病因中前3位为脑梗死、脑出血、低血糖或高渗，死亡率前3位为多脏器功能衰竭、心肌梗死、脑出血。从发病情况上看，器官衰竭所导致的死亡率明显高于慢性疾病，0.05，但重度昏迷所导致的死亡率明显高于轻度、中度昏迷。从入院时间上看，1h内入院的患者死亡率最低，超过4h入院的患者死亡率最高，三者之间均有统计学差异，>0.05。结论脑梗死、脑出血、低血糖或高渗是导致急诊内科患者昏迷的主要因素，而器官衰竭的患者、昏迷程度越重的患者、入院时间越长的患者预后越差，死亡率越高。“,”Objective To analysis leads to the cause of emergency medicine coma patients,and observe its clinical effect.Methods Our hospital medical emergency treatment in a total of 126 cases of patients with coma.After patients admitted to hospital for emergency rescue,watch the causes, influence factors and prognosis of patients.Results 126 cases of coma patients the cause of the top three for cerebral infarction,cerebral hemorrhage, low or high permeability,mortality top three multiple viscera function failure,myocardial infarction,cerebral hemorrhage.Look from the incidence, mortality were significantly higher than those of chronic diseases,as a result of organ failure,with statistical difference ( 0.05),but the mortality rate,as a result of severe coma significantly higher than that of mild and moderate coma.Look from the hospitalized time,hospital mortality of patients with the lowest within 1 h,more than 4 h highest rates of patients hospitalized,between and among all have statistical difference ( >0.05).Conclusion Cerebral infarction,cerebral hemorrhage,low or high permeability is the main factor lead to emergency medical patients in a coma,and the heavier,coma of patients with organ failure patients,hospital outcomes in patients with the longer the worse,the higher the mortality.