摘要
目的探讨急诊昏迷患者的分诊与护理。方法选择我院急诊科2013年1月-2014年6月接诊的265例急诊昏迷患者资料进行回顾性分析。结果脑血管病142例,严重颅脑创伤63例,各类中毒25例,低血糖昏迷15例,糖尿病高渗性昏迷8例,尿毒症昏迷3例,肝昏迷3例,中暑昏迷4例,不明原因昏迷2例,分诊正确率92%。结论具备扎实的基本功和丰富的医学知识,正确及时做好对急诊昏迷患者的鉴别分诊,对尽快明确病因起决定作用;及时加强准确有效的急救治疗与护理,直接影响最终的抢救成功率以及患者的康复情况。
Objective:To explore the triage and nursing care of acute coma patients. Methods:The clinical materials of 265 cases with coma in the emergency department of our hospital from January,2013 to June,2014 were analyzed retro-spectively. Results:Among the 142 patients with cerebrovascular diseases,63 cases of severe craniocerebral injury,25 ca-ses of poisoning,15 cases of Hypoglycemic coma,8 cases of diabetic hyperosmolar coma,3 cases of Uremic coma,3 pa-tients with hepatic coma,4 cases of heat stroke coma,2 cases of unidentified cause coma,the triage accuracy was 92%. Conclusion:Solid basic skills,rich medical knowledge and the correct timely identification of emergency triage of coma pa-tients play a decisive role in making clear the causes as soon as possible. Strengthening the accurate and effective emergen-cy treatment and nursing care directly affects the success rate of rescue and rehabilitation of patients.
出处
《泰山医学院学报》
CAS
2015年第1期72-74,共3页
Journal of Taishan Medical College
关键词
急诊
昏迷
分诊
护理
emergency
coma
triage
nursing care