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目的:探讨急诊内科昏迷病人的病因机理和抢救措施,为临床提供有效的治疗方法。方法:收集2014年1月—2017年1月来我院就诊的210例急诊内科患者的临床资料,并运用回归分析的方法分析患者昏迷的诊断结果、抢救措施和治疗效果。结果:210例在选急诊内科患者昏迷的原因有急性中毒、脑部原发性病变、糖尿病并发症以及其他原因,人数分别是85例、54例、42例和29例。210例昏迷病人,在急救过程中,死亡8例,在住院过程中因病情突然恶化死亡12例,总死亡率为9.5%。结论:昏迷病人常伴有的多种器官功能的损害,是一种死亡率较高的病症,准确的病因诊断及积极有效的急救措施的实施是该病患者抢救成功的关键。
Objective: To investigate the etiopathogenisis and rescue measures of emergency coma patients in order to provide effective clinical treatment. Methods: The clinical data of 210 emergency medical patients who came to our hospital from January 2014 to January 2017 were collected. The diagnostic results, rescue measures and treatment effects of coma were analyzed by regression analysis. Results: There were 210 cases of coma in emergency department, including acute poisoning, primary brain lesions, complications of diabetes and other causes. The number of cases were 85, 54, 42 and 29, respectively. Among the 210 comatose patients, 8 died during the first aid treatment and 12 died during the hospitalization due to the sudden deterioration of their condition, with a total mortality rate of 9.5%. Conclusion: Coma patients often suffer from multiple organ damage, which is a kind of high mortality rate. Accurate etiological diagnosis and implementation of effective first aid measures are the key to the successful rescue of the patients.