昏迷是内科最常见的急诊之一,有关诊断和治疗已见于一般书籍和文献。本文从医疗实践出发,重点讨论昏迷的诊断步骤、病因和分类以及治疗。昏迷的定义昏迷是高级神经活动严重抑制的一种临床表现,其特点表现为意识丧失,对各种刺激失去正常反应,随意运动和感觉丧失。昏迷和昏厥不同,昏迷时意识丧失持久而不易迅速恢复。昏迷必须与去大脑皮层综合征相区别,二者可能为同一病因所致中枢神经系统的严重损害的不同病理 Coma is one of the most common emergency medical emergencies, diagnosis and treatment have been found in the general books and literature. This article, starting from the medical practice, focuses on the diagnostic procedures for coma, the etiology and classification, and treatment. Coma Definition Coma is a clinical manifestation of severe inhibition of advanced neuronal activity characterized by loss of consciousness, loss of normal reaction to various stimuli, loss of motility and loss of sensation. Coma and fainting different unconscious unconscious loss of long-lasting recovery is not easy. Coma must be distinguished from cortical syndrome, both of which may be different pathologies of severe damage to the central nervous system caused by the same etiology