急诊内科的昏迷患者发病原因分析及处理措施

摘要

Objective:To explore the analysis of emergency medical causes of coma patients as well as the main treatment measures.Method:100 coma patients’ clinical data were retrospective analyzed,the main causes of unconsciousness and relative treatment measures were summarized.Result:The main causes of 100 patients in coma for cerebral hemorrhage,cerebral thrombosis,drug poisoning and acute organic phosphorus poisoning.12 h on the reason of the coma diagnosis accuracy rate was 80%,in 24 h the correct diagnosis of 97 cases.A total of 7 cases of patients died,of which 2 patients with large area cerebral hemorrhage caused by death,sudden cerebral thrombosis of 3 cases,acute organophosphate poisoning in 1 case,and 1 case of drug poisoning,the patients of death with GCS score were significantly lower than patients cured or improved,the difference was statistically significant(P<0.01).Conclusion:Early in a timely manner to internal causes coma patients diagnosis and symptomatic treatment is the key to improve the prognosis of patients.%目的：探究分析急诊内科的昏迷患者发病原因以及主要的处理措施。方法：回顾分析本院内科100例患者的临床资料，总结分析其主要昏迷的发病原因以及相对的处理措施。结果：100例患者中昏迷的主要原因为脑出血、脑血栓、药物中毒和急性有机磷中毒。12 h内对于昏迷原因的诊断准确率为80%，24 h内正确诊断97例，正确率为97%，剩余的3例为急性胰腺炎患者，细菌培养结果后证实诊断。共有7例患者死亡，其中大面积脑出血引起死亡患者2例，突发脑血栓3例，急性有机磷中毒1例，药物中毒1例，死亡患者的GCS评分显著低于治愈或者好转的患者，两者比较差异有统计学意义（P<0.01）。结论：早期及时地对内科昏迷患者发病原因进行诊断然后对症治疗是提高急诊内科昏迷患者预后的关键。