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目的探讨内科昏迷患者的病因构成,诊断要点及院前抢救措施。方法对我和平分站2006年5月到2007年5月诊治428例昏迷者行院内跟踪。结果428例昏迷患者中脑卒中166例,各类中毒126例,代谢性疾病62例,心血管疾病54例,其他25例。院前急救好转143例,稳定219例,恶化41例,死亡25例。结论昏迷患者中以颅脑疾病和各类中毒最常见,院前急救中若给予积极、有效治疗,并与院内积极配合,可显著提高昏迷患者的抢救成功率,减少病死率。
Objective To investigate the etiology, diagnosis and prehospital emergency measures of patients with medical coma. Methods My peace station from May 2006 to May 2007 diagnosis and treatment of 428 cases of coma hospital tracking. Results Among the 428 comatose patients, 166 were stroke, 126 were all kinds of poisoning, 62 were metabolic, 54 were cardiovascular and 25 were other. Pre-hospital first aid improved 143 cases, stable 219 cases, 41 cases of deterioration, 25 cases of death. Conclusion In comatose patients, craniocerebral diseases and various types of poisoning are the most common. If they are given active and effective treatment in pre-hospital emergency and cooperate actively with the hospital, the success rate of rescue and the mortality of coma can be significantly improved.