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昏迷患者急诊救治368例临床分析
杨从和
463000 河南,驻马店市中心医院急诊科
摘要:
[摘要] 目的 探讨昏迷患者急诊的早期诊断及急救处理方法,以期提高抢救成功率。方法 对急诊科2008~2010年接诊的368例昏迷患者的诊断和抢救资料进行回顾性分析。结果 368例昏迷患者中,脑血管意外疾病最多,颅脑损伤次之,随其后依次是休克、中毒、心血管疾病、内分泌和代谢性疾病;368例昏迷患者中死亡11例,病死率为2.99%。结论 昏迷患者中脑血管意外占大多数,尽快明确病因诊断、加强急救治疗,有助于提高昏迷患者的抢救成功率,降低病死率。
关键词:  昏迷  急诊  临床分析
DOI:10.3969/j.issn.1674-3806.2012.04.20
分类号:R 459.7
基金项目:
Analysis on emergency treatment of 368 coma patients
YANG Cong-he
Department of Emergency,the Central Hospital of Zhumadian City, Henan 463000,China
Abstract:
[Abstract] Objective To explore the cause of coma,early diagnosis and treatment of coma patients in order to improve the success rate.Methods The diagnosis and emergency treatment of 368 coma patients in emergency department of our hospital from 2008 to 2010 were retrospectively analyzed.Results In 368 coma patients,cerebrovascular disease accident was most, followed by head injury,shock,poisoning, cardiovascular disease, endocrine and metabolic diseases.In all the patients, 11 died, the mortality rate was 2.99%.Conclusion Coma patients with cerebral vascular accident is majority, a clear diagnosis of the cause as soon as possible and the first-aid treatment will improve the survival rate of coma patients and reduce mortality.
Key words:  Coma  Emergency  Clinical analysis