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目的探讨昏迷患者的病因构成,诊断要点及救治经验,提高对该病的抢救成功率。方法回顾性分析河南省新乡公立医院159例昏迷患者的诊断和抢救资料。结果 159例昏迷患者中,脑血管意外61例,急性中毒43例,糖尿病并发症36例,继发性脑部病变及其他19例。159例昏迷患者好转或治愈142例,急诊抢救中死亡8例,住院后死亡9例。结论昏迷患者病因复杂,以脑血管意外,急性中毒、糖尿病并发症占大多数,应详细询问病史,必要的查体和辅助检查,尽快明确病因,提高救治水平,降低死亡率。
Objective To investigate the causes of coma patients, diagnosis points and treatment experience, improve the success rate of rescue of the disease. Methods A retrospective analysis of 159 cases of coma patients in Xinxiang Public Hospital, Henan Province, diagnosis and rescue data. Results Among the 159 coma patients, 61 cases of cerebrovascular accident, 43 cases of acute poisoning, 36 cases of diabetic complications and 19 cases of secondary brain lesions. In the cohort of 159 patients, 142 cases were either improved or cured, 8 were killed in emergency and 9 died after hospitalization. Conclusions The causes of patients with coma are complex, with cerebrovascular accidents, acute poisoning and complications of diabetes accounting for the majority. Patients should be asked about their medical history, necessary physical examination and auxiliary examination as soon as possible to clarify the cause, raise the level of treatment and reduce the mortality rate.