急诊内科昏迷患者358例临床分析

目的:总结急诊内科昏迷病人的病因构成、诊断方法及治疗措施。以提高其早期诊断正确率及抢救成功率。方法:回顾性分析我院急诊内科2012年10月-2013年12月诊治的昏迷患者358例的临床资料。结果:本组358例昏迷中,主要病因依次为脑部原发性病变占、急性中毒占33.52%(120/358)和糖尿病并发症占12.57%(45/358),其中脑梗死为最常见病因,占20.39%(73/358).抢救成功率81.84%(293/358),病死率19.29%(65/358)。结论:导致昏迷的病因复杂多样,临床表现缺乏特征性,病死率较高;及时准确的早期诊断、对症对因的治疗措施,能提高抢救成功率。

Clinical Analysis of 358 Patients with Coma in Emergency Medicine

Objective：To summarize the causes, diagnosis and treatment of patients with coma in emergency medicine to improve the successful rate of early diagnosis and rescue. Method：The clinical data of 358 patients with coma were retrospectively analyzed from Oct 2012 to Dec 2013. Results：Among the 358 cases, the main causes orderly were primary brain diseases 40.22%（144/358）, acute toxicity 33.52% （120/358） and diabetic complication 12.57% （45/358）,the most common cause was cerebral infarction 20.39% （73/358）. 293 cases were The rescued successful rate was 81.84%（293/358）and the death rate was 19.29%（65/358）. Conclusion： Causes of coma in emergency internal medicine are complicated, with variable features and high fatality rate. The internist timely and accurate diagnosis and treatment may improve the successful rate of rescue.