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目的 :探讨昏迷患者的临床症状以及抢救治疗方法的有效性的分析。方法 :对我中心在2015年1月至2016年1月之间抢救的22例昏迷患者的临床资料进行回顾性分析与总结。统计出不同病因昏迷患者所占的比例,以及抢救成功率与病死率的比例,了解年龄、性别、昏迷程度及病因等因素与患者昏迷预后的相关性。结果 :通过统计分析,昏迷的病因占比较大的是中毒、脑出血、大面积脑梗死。22例患者最终抢救成功者18例,成功率为81.82%;抢救失败死亡的4例,病死率为18.18%。分析性别、年龄及病因与昏迷死亡的差异不明显,无统计学意义(P>0.05),但患者的昏迷程度与死亡有关,中、重度昏迷的患者病死率显著高于轻度昏迷患者的病死率,具有统计学意义(P<0.05)。结论 :昏迷患者常伴随身体机能的下降,及时的发现发病原因,对降低死亡率非常重要。这类病死亡率较高,应该及时诊治。
Objective: To investigate the clinical symptoms of coma patients and analysis of the effectiveness of rescue treatment. Methods: The clinical data of 22 comatose patients who were rescued by our center from January 2015 to January 2016 were retrospectively analyzed and summarized. Statistics the proportion of patients with different causes of coma, as well as the proportion of rescue success and mortality, to understand age, gender, coma and etiology and other factors and coma prognosis of patients. Results: Through statistical analysis, the cause of coma is dominated by poisoning, cerebral hemorrhage, large-area cerebral infarction. Twenty-two patients were successfully rescued in 18 cases, with a success rate of 81.82%. Four patients died of rescue failure with a mortality rate of 18.18%. There were no significant differences in gender, age, etiology and coma death (P> 0.05), but the degree of coma was related to death, and the mortality in patients with moderate and severe coma was significantly higher than that in mild coma Rate, with statistical significance (P <0.05). Conclusion: Coma patients often accompanied by the decline of physical function, timely detection of the cause of the disease, to reduce mortality is very important. The mortality of such diseases is higher, it should be timely diagnosis and treatment.