82例急诊昏迷患者的急救临床分析

摘要

目的：探讨急诊昏迷患者的病因、临床症状、体征及辅助检查，为急诊昏迷的诊断和治疗提供一定的临床依据。方法选取我院急诊收治的昏迷患者82例为研究对象，分析昏迷病因及急救措施。结果82例昏迷患者中，急性脑血管病26例，代谢性脑病23例，中毒16例，外伤13例，其他4例。82例急诊昏迷患者经急救处理、周密的体格检查及系统的专业抢救，急诊抢救成功（治愈+好转）71例，抢救成功率86.59%，死亡例数11例，病死率13.41%。结论针对急性昏迷的患者，及时分析病因，采取积极有效的抢救措施，对降低病死率，提高抢救成功率具有重要的意义。%Objective To investigate the cause, clinical symptoms, signs and laboratory examinations of the emergency comatose patients, and provided a basis for clinical diagnosis and treatment of emergency coma.Methods 82 cases of coma patients in our hospital were selected for the study, and the causes and first aid measures were analyzed.Results 82 cases of coma patients include 26 cases of acute cerebrovascular disease, 23 cases of metabolic encephalopathy, 16 cases of poisoning, 13 cases of trauma, the other 4 cases. After emergency treatment, careful physical examination and systematic professional rescue, 71 cases were successfully rescued (cured and improved) with a survival rate of 86.59%, 11 cases died, the mortality rate was 13.41%. Conclusion For patients with acute coma, timely analysis of the cause and positive and effective rescue measures is of great significance for reducing mortality and improving the success rate.