127例急诊内科昏迷病人病因及预后影响因素分析

【目的】探讨急诊内科昏迷患者的病因构成及预后影响因素。【方法】选择本院收治的127例急诊内科昏迷患者,对其病因、病死率及预后相关因素进行分析。【结果]127例昏迷患者中急性脑血管意外致昏迷者最为常见,计48例,占37．8％,其次是各种休克,计37例,占29．1％,再次是外源性中毒,计24例,占18．9％。共27例最终死亡,病死率为21．3％,少尿或无尿、高热以及血压异常为致死的直接因素。【结论】昏迷患者原发病因较多,病情较急、较重,快速准确的诊断和积极有效的治疗是提高抢救成功率的关键。

Analysis of the Causes and Prognostic Factors in 127 Cases of Emergency Medical Coma

[Objective] To explore the causes and prognostic factors of patients with emergency medical coma. [Methods]Totally 127 cases of emergency medical coma in our hospital were chosen. The causes, mor- tality and prognosis-related factors were analyzed. [Results] Of 127 cases, the coma caused by acute cerebral vascular accident was the most common and accounted for 37.8 % （48 cases）, then a various of shocks accoun- ted for 29.1%（37 cases） and heterointoxication accounted for 18.90//00 （24 cases）. About 27 cases died in the last and the fatality rate was 21.3%. Little or no urine, hypoxia and abnormal blood pressure were the direct factors causing death. [Conclusion] The patients with coma have more causes with acute and severe pathoge- netic condition. Rapid and accurate diagnosis and effective treatment is the key to improve the success rate of the management.