536例昏迷病人内科急诊抢救回顾性分析及探讨

A retrospective Analysis of 536 Coma Patients Internal Medical Emergency

目的:探讨昏迷病人的病因构成和早期诊断处理方法,以降低病死率。方法:对我院急诊内科2008年1月至2010年6月接诊并实施抢救的536例昏迷患者的临床资料进行回顾性分析,并对其进行院内跟踪,总结昏迷病人的病因构成和早期诊断处理方法。结果:536例昏迷患者中,各类中毒156例(29.1%),脑卒中138例(25.7%),代谢性疾病104例(19.4%),心血管事件96例(17.9%),其他42例(7.8%);经抢救536例患者病情好转104例,稳定362例,恶化48例,死亡22例,死亡率4.1%。结论:昏迷患者中各类中毒及颅脑疾病占大多数,积极有效的院前急救,稳定患者的生命体征,可显著的提高患者的抢救成功率。

Objective：To explore the etiology formation,early diagnosis of coma patients.Method：536 coma patients were analyzed retrospectively,and carried on the nosocomial tracking,summarized the compo-sition of etiology,early diagnosis and treatment.Result：536 coma patients were composed of poisoning 156 cases（29.1%）,138 cases（25.7%） with cerebral stroke,104 cases（19.4%） with metabolic disease,96 cases cardiovascular incidence with（17.9）,others 42 cases（7.8%）;104 cases were improved after the treatment,362 cases were stable,48 cases were worsening and 22 cases were death.Conclusion：Craniocerebral disease and poisoning disease are majority of coma patients,the positive first-aid can signifiantly improve the rescue success rate.