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对昏迷患者的临床诊治分析 被引量:10

Clinical analysis of diagnosis and treatment for coma patients
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摘要 目的:探讨急诊内科昏迷患者的发病原因及诊治方法。方法:回顾性分析我科2009年6月~2010年6月收治的80例昏迷患者的临床资料,总结其发病原因、临床特点及诊治方法。结果:本组80例患者中急性脑血管疾病占37.5%,急性中毒占28.8%,急性心肌梗死占15.0%。入院后12 h诊断正确率为78.8%(63/80),72 h急诊诊断正确率达95.0%(76/80)。抢救成功69例,死亡11例,抢救成功率为86.3%。结论:昏迷患者原发病因较多,病情较急、较重,快速准确的诊断和积极有效的治疗是提高抢救成功率的关键。 Objective: To investigate the causes and treatment methods of coma patients of emergency medical. Methods: Retrospectively analyzed the clinical data of coma patients in our department from June 2009 to June 2010, summarized the pathogenesis, clinical features, diagnosis and treatment. Results: Acute cerebral vascular disease accounted for 37.5% to 80 patients, 28.8% of acute poisoning, acute myocardial infarction accounted for 15.0%. 12 h after admission, diagnostic accuracy was 78.8% (63/80), after 72 h emergency diagnostic accuracy rate was 95.0% (76/80). Successful rescue of 69 cases, 11 were died, the survival rate was 86.3%. Conclusion: The primary diseases in patients with coma due to more disease than the acute and severe, rapid and accurate diagnosis and effective treatment is the key to improve the success rate.
作者 张留定
出处 《中国医药导报》 CAS 2011年第8期47-49,共3页 China Medical Herald
关键词 急诊内科 昏迷 诊断 治疗 Emergency medicine Coma Diagnosis Treatment
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