急诊内科昏迷患者的临床救治及观察

Clinical Treatment and Observation of Coma Patients in Emergency Department

目的:分析研究急诊内科昏迷患者的临床救治方法,并对其治疗效果进行观察。方法:选取2014年9月~2016年3月间某院急诊内科收治的昏迷患者107例作为观察对象,回顾分析患者的诊断结果,并根据患者的昏迷原因给予对症治疗,观察并记录患者的治疗效果,计算其各自的死亡率。结果:对107例患者的昏迷原因进行分析,可见急性中毒是构成比最高的一项,占42.1%,显著高于其他原因,而治疗后,除心肌梗死、颅内出血和急性中毒外,其余原因造成昏迷的患者痊愈率为100.0%,总的痊愈率为92.5%,死亡率为7.5%。结论:急诊内科收治的昏迷患者,要在尽可能明确诊断的基础上尽早给予积极的对症治疗,提高患者的治疗效果和生存质量。

Objective. To study the clinical treatment of emergency medical coma patients, and to observe the therapeutic effect. Methods.. From April 2014 to March 2016, 107 cases of coma patients admitted to hospital in emergency department were selected as the observation object. The diagnosis results were analyzed and then treat the patients according to the coma of the patients. The treatment effect of the patients was ob- served and recorded, then calculate their respective mortality rates. Results. The analysis of the causes of co- ma in 107 patients showed that acute poisoning was the highest proportion, accounting for 42.1~, which was significantly higher than other causes. After treatment, except for myocardial infarction, intracranial hemorrhage and acute poisoning, the cure rate for other reasons was 100.0%, the overall cure rate was 92.5% and the mortality rate was 7.5%. Conclusion. The coma patients in the emergency medical department should give positive symptomatic treatment as soon as possible on the basis of diagnosis as far as possible, which can improve the therapeutic effect and quality of life of the patients.