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目的:就急诊内科昏迷患者的病因和诊断要点以及急救措施展开分析讨论。方法:收集2010年1月至2012年1月期间,在我院就诊的320例急诊内科昏迷患者,并就他们的主要病因、体征与治疗情况进行研究。结果:在320例患者中,97例患者为代谢性脑病,占总患者人数的30.31%,91例为急性脑血管病,占总患者人数的28.44%,90例为急性中毒,占总患者人数的28.13%。酒精中毒是最常见的病因,有64例患者是酒精中毒,占总患者人数的20.0%。结论:急诊内科昏迷患者的病因十分复杂,且临床的表现往往不具有明显的特征性,医务人员需加强对该病的诊断力度,并探究出科学合理的治疗措施。
OBJECTIVE: To analyze and discuss the etiology, diagnosis points and first aid measures of emergency coma patients. Methods: From January 2010 to January 2012, 320 emergency medical coma patients in our hospital were collected and their major causes, signs and treatment were studied. Results: Of the 320 patients, 97 were metabolic encephalopathy, accounting for 30.31% of the total number of patients, 91 were acute cerebrovascular disease, accounting for 28.44% of the total number of patients, 90 were acute poisoning, accounting for the total number of patients Of the 28.13%. Alcoholism is the most common cause, with 64 patients being alcoholic, accounting for 20.0% of the total number of patients. Conclusion: The etiology of emergency department in patients with coma is very complicated, and clinical manifestations often do not have obvious characteristics, medical staff need to strengthen the diagnosis of the disease and explore scientific and rational treatment.