急诊内科昏迷患者112例临床分析

Clinical Analysis of 112 Cases of Coma Patients in the Department of Emergency Internal Medicine

目的探讨急诊内科昏迷患者的病因和临床急救方案。方法该研究于2014年1月—2015年12月以福建省中医药大学附属第三医院急诊科112例急诊昏迷患者作为研究对象,通过分析其临床资料,对其病因及临床急救方案进行分析。结果 112例昏迷患者经临床症状诊断、病史分析及相关辅助检查,结果发现112例昏迷患者的病因中急性中毒所占比例最高,达41.96%;其次是心血管病变,占33.04%;糖尿病并发症占16.07%,继发性脑部病变占5.36%,其他病因占3.57%。112例昏迷患者经过积极的抢救后,共计死亡4例,其中急性中毒无患者死亡,而心血管病变患者中死亡3例,所占比例最高。结论对急性昏迷患者进行及时有效的病因分析,积极的抢救措施,为患者病情的确诊与治疗提供关键的依据,对降低患者的病死率,提高抢救成功率有重要的意义。

Objective To discuss the disease causes of coma patients in the department of emergency internal medicine and the clinical emergency plan. Methods 112 cases of coma patients treated in our hospital from January 2014 to December 2015 were selected as the research objects and the clinical data of them were analyzed, and the disease causes and clinical emergency plan were analyzed. Results The clinical symptom diagnosis, history disease analysis and related auxiliary examination showed that the ratio of acute poisoning in patients was the highest, reaching 41.96%, cardiovascular disease was the second, accounting for 33.04%, diabetes complications reached 16.07%, secondary brain lesions reached 5.36% and other causes reached 3.57%, after rescue, 4 cases died in the 112 cases of coma patients, including 3 cases with cardiovascular disease. Conclusion The timely and effective analysis of disease causes and positive emergency measures can provide key basis for the diagnosis and treatment of patient＇s condition, and it is of important significance to reducing the morbidity rate of patients and improving the emergency success rate.