急诊内科的昏迷患者发病原因分析及处理措施

目的分析急诊内科的昏迷患者的病因及处理措施。方法回顾性分析我院106例急诊内科患者临床资料,总结诊断及处理措施。结果 106例患者以脑血栓、脑出血、急性有机磷农药中毒及药物中毒为主,总计占比64.2%,12h内诊断正确率为81.1%,24 h内诊断正确104例,正确率为98.1%,2例急性胰腺炎患者待细菌培养结果后确诊。共9例患者死亡,其中突发性脑血栓4例,大面积脑出血2例,急性有机磷农药中毒1例,药物中毒1例,心功能衰竭1例,死亡9例患者的GCS评分显著低于治愈或好转患者,χ2=20.418,P〈0.001。结论尽早对昏迷病因准确诊断及对症治疗是提高急诊内科昏迷患者预后的关键。

Cause Analysis and Treatment Measures of Coma Patients in Medical Emergency

Objective To explore cause analysis and treatment measures of coma patients in medical emergency. Methods Retrospectively analyzing clinical data of 106 cases in medical emergency,and summarizing the diagnosis and treatment measures. Results Cerebral thrombosis,cerebral hemorrhage,acute organophosphorus pesticide poisoning and poisoning accounting for 64. 2% were mainly the reason of emergency in medical patients. The diagnostic accuracy was 81. 1% in 12 h,and 98. 1% in 24 h. 2 cases acute pancreatitis were diagnosed by bacteria culture. A total of 9 patients died,including 4 cases of sudden cerebral thrombosis,2 cases of a large area of cerebral hemorrhage,1 case of acute organophosphorus pesticide poisoning,1 case of poisoning and 1 case of heart function failure. The GCS score in the nine died persons was significantly lower than cured or improved person,χ2= 20. 418,P〈0. 001. Conclusion Shortening the time between visits,early and accurate diagnosis of the cause coma and symptomatic treatment is the key to improve the prognosis of patients with emergency medicine coma.