急诊昏迷患者的迅速分诊与急救方法研究

Study on the rapid triage and first aid in emergency patients with coma

目的:研究急诊昏迷患者的迅速分诊与急救方法。方法:收治急诊昏迷患者106例,患者分诊与急救流程参考2010年设立的5级急诊预检分诊系统和急诊危重病降阶梯治疗方法确定。观察所有患者的预后。结果:106例患者经过治疗后痊愈出院54例,住院时间7~24 d,平均住院时间(15.23±5.22)d。患者转入相关科室继续治疗40例。死亡12例,死亡率11.32%,其中颅外伤7例,脑卒中3例,不明原因2例。抢救成功率88.72%。结论:迅速、正确的分诊以及规范的急救流程是影响昏迷患者预后的重要步骤。

Objective:To study the rapid triage and first aid methods in emergency patients with coma.Methods:106 patients with coma by emergency treatment were selected.Patients diagnosis and emergency procedures for reference in 2010 the establishment of emergency triage points diagnosis system and emergency critically ill de escalation therapy method.We observed the prognosis of all patients.Results:After treatment,54 patients were cured and discharged from hospital in 106 patients;the length of stay in hospital were 7～24 d;the average length of stay were(15.23 ± 5.22)d;patients transferred to the relevant departments with continue treatment in 40 cases;12 patients died,and the mortality rate was 11.32% .Among them,7 cases with traumatic brain injury;3 cases with cerebral apoplexy;2 cases of unknown reasons.The rescue success rate was 88.72% .Conclusion:Rapid and accurate triage and standardized emergency procedures are important steps to influence the prognosis of coma patients.