摘要
目的本研究对急诊内科昏迷患者的临床特点、临床检查结果进行分析，探讨恰当的治疗方法，为提高急诊内科昏迷患者的急诊救治成功率提供一定的参考。方法选择武警总医院本院急诊科2011年3月～2011年12月收治的54例内科昏迷患者，男31例，女23例，对患者的临床诊断及治疗过程进行分析。结果本组患者治疗成功51例，死亡3例，死亡原因包括肺部感染、肾衰竭、颅内感染等。治疗前后根据格拉斯哥评分法（GCS）对患者昏迷状况进行评价，治疗后54例患者浅昏迷28例，中度昏迷18例，深昏迷8例，与治疗前相比有显著的改善（P〈0．05）。结论对急诊内科昏迷患者应首先进行及时的治疗，防止发生脑部或者重要脏器持续性受损，并通过全面的检查、询问病史明确发病原因，密切观察患者病情，避免病情恶化，挽救患者的生命，保证患者的生命质量。
Objective To analyze comatose patients＇ clinical characteristics and exam result, and explore effective treatment, and provide valuable reference. Methods The clinical data of 54 comatose cases in the emergency department, 31 male and 23 female, were analyzed. The evaluation was conducted complying with Glasgow Coma Scale （GCS）was used to assess the degree of coma before and after the treatment Results 51 patients survived and 3 died of pulmonary infection, renal failure, or intracranial infection. GCS showed 28 cases of superficial coma, 18 cases of moderate coma, and 8 cases of deep coma after the treatment, demonstrating a significant improvement compared with that before the treatment （P〈0.05）. Conclusion Prompt treatment plays a key role for those coma patients in preventing brain and important organs from persistent impairment, followed by a comprehensive examination, historical etiology, and close observation so as to avoid deterioration, save the patient＇s life, and improve their living quality.
出处
《中国急救复苏与灾害医学杂志》
2013年第4期337-339,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
急诊
昏迷
意识障碍
诊断
病因
Emergency
Coma
Consciousness
Diagnosis
Etiology
