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目的:分析急诊中瞳孔检查对昏迷及休克患者病程判断的重要性。方法:对所有患者进行相关体格检查、实验室检查以及神经系统的检查,将患者按不同的病因类型分为两组,观察按病因分类后患者的瞳孔情况,包括患者是否发生瞳孔散大或缩小,双侧瞳孔是否等大及瞳孔是否发生对光反射消失。结果:148例患者中属于结构性昏迷或休克的患者68例,代谢性昏迷或休克80例,结构性昏迷或休克组患者的瞳孔不等大例数大于代谢性昏迷或休克组,结构性昏迷或休克组患者的瞳孔对光反射消失的例数大于代谢性昏迷或休克组。结论:对患者瞳孔合理科学的检查是急诊中判断患者病因情况的重要方法,对了解患者的病情和及时的救治具有积极意义。
OBJECTIVE: To analyze the importance of pupil examination in emergency department to determine the course of disease in patients with coma and shock. Methods: The related physical examination, laboratory examination and neurological examination were performed on all patients. The patients were divided into two groups according to their different etiology types. The pupils of patients were classified according to their etiology, including whether the patients had mydriasis or narrowing , Bilateral pupil is large and pupil light reflex disappears. Results: 68 patients with structural coma or shock in 68 patients, metabolic coma or shock in 80 patients, structural coma or shock patients with large pupil range than the metabolic coma or shock group, structural coma Or shock group pupil light reflex disappeared more cases than the metabolic coma or shock group. Conclusion: The scientific examination of the pupil of a patient is an important method to judge the etiology of the patient in the emergency department. It is of positive significance to understand the patient’s condition and prompt treatment.