昏迷患者463例的病因及院前急救分析

目的探讨昏迷患者的病因和院前急救措施。方法对我院急诊科院前救治的463例昏迷患者进行回顾性分析。结果463例昏迷患者的病因以脑血管意外最多，其次是中毒、严重创伤、代谢性疾病和心血管疾病。经院前救治后，病情好转180例（38．9％），稳定236例（51．0％），恶化29例（6．3％），现场死亡13例，途中死亡5例，病死率为3．9％。结论迅速准确判断昏迷的病因，实施及时有效的院前救治措施，是提高昏迷患者抢救成功率的关键。

Etiology and prehospital emergency of coma analysis of 463 cases

Objective To explore the etiology and prehospital emergency measures of patients with coma. Methods The clinical data of 463 patients with coma received prehospital emergency provided by our emergency department were retrospectively analyzed. Results The most common reason of coma in 463 patients was cerebrovascular accident. The second was poisoning, serious trauma, metabolic disease, cardiovasetdar disease. After prehospital care, improved effect was found in 180 patients （38.9%）, stable in 236 patients （51.0%）, deteriorating in 29 patients （6. 3% ）, death on-site in 13 patients, death on the way in 5 patients, the mortality was 3. 9%. Conclusion The key to improve rescue success rate of patients with coma is judge the coma cause qnickly and accurately, and ira-plement the effieient first-aid measures timely.