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目的目的分析急症内科昏迷患者的诊断和治疗方法。方法回顾性分析2011年4月~2014年4月期间我院急诊内科收治的210例昏迷病人的临床资料,总结诊断和治疗方法。结果本组患者昏迷的原因分有急性中毒、脑卒中、糖尿病并发症以及其他疾病四种,分别有86例、74例、36例和14例。其中中毒患者多以酒精中毒和药物中毒居多;210例昏迷病人中,193例病人得到成功救治,成功率为94.9%;17人死亡,其中5人死于抢救过程,12人死于住院后。结论医生要及时全面掌握患者的病史,对患者进行细致的体格检查,再根据三个大方向准确判断患者的病因,灵活使用辅助检查手段辅助诊断。在救治上,及时保持护理畅通、给予吸氧支持、建立静脉通道,再根据患者具体的病情采取针对性的治疗措施是成功救治的关键。
Objective To analyze the diagnosis and treatment of patients in acute medical coma. Methods The clinical data of 210 comatose patients admitted to our hospital from April 2011 to April 2014 were analyzed retrospectively. The diagnosis and treatment were summarized. Results The coma of patients in this group were divided into acute poisoning, stroke, diabetic complications and other diseases in 86 cases, 74 cases, 36 cases and 14 cases respectively. Of the 210 cases of coma patients, 193 patients were successfully treated, the success rate was 94.9%; 17 were killed, of whom 5 died of the rescue process, 12 died of hospitalization. Conclusion Doctors should grasp the patient’s medical history in time and carry out meticulous physical examinations on the patients. Then according to the three general directions, they can accurately determine the cause of the patients and flexibly use auxiliary examinations to assist the diagnosis. In the treatment, timely and unimpeded care, oxygen support, the establishment of venous access, and then take specific treatment of patients with specific measures is the key to successful treatment.