摘要
目的分析急诊科门诊重度昏迷患者的发病原因及早期处理方法,探讨提高重度昏迷抢救成功率并降低病死率的措施。为临床医师实施对重症患者的救治提供有益借鉴。方法选择哈医大一院急诊门诊抢救室以首诊为重度昏迷并抢救记录完整的413例患者,回顾分析其急救的诊疗过程。结果中老年慢性疾病急性发作中以急性心脑血管病、晚期肿瘤、呼吸道及消化道疾病引起的重度昏迷患者最多(113例),占27.37%;其中死亡46例,占总死亡率的34.79%。创伤所导致的重度昏迷患者次之(72例),占17.43%;死亡30例,占总死亡率的22.72%。结论对重度昏迷病人应早期、正确地做出诊断,同时采取积极、有效的抢救措施,保护重要脏器的功能,是重度昏迷病人抢救成功的关键。
Objective To analysis aetiological agent and early treatment method to patients with severe coma in clinic of emergency department and to investigate measure of rescuing success rate and decreasing mortality of severe comatose case.To provide beneficial reference for clinician implement rescue to severe patients.Methods Selected 413 cases with severe coma whose rescued record completely in emergency department of first affiliated hospital of Harbin medical university.To respectively analysis its first aid d...
出处
《吉林医药学院学报》
2009年第1期13-15,共3页
Journal of Jilin Medical University
关键词
急诊
重度昏迷
急救措施
emergency
severe coma
rescuing measure