论文部分内容阅读
目的探讨急诊内科昏迷患者的发病原因及诊治方法,以期为降低临床的误诊率及昏迷患者的病死率提供参考。方法采用回顾性分析方法,分析北京老年医院急诊内科2010年1月-2011年10月收治的117例昏迷患者的临床资料,总结临床表现、诊疗特点和方法。结果本研究的117例患者,入院后急诊12 h内,有88例诊断正确,正确率为75.2%,72 h内110例诊断正确,正确率为94.0%。117例患者经治疗后,抢救成功99例,抢救成功率为84.6%。脑出血、脑血栓、心功能衰竭、药物中毒和有机磷中毒发生率高于其它病因,结果差异具有统计学意义(P<0.01)。结论昏迷患者的病因较为复杂,病情危急,因此需要快速准确的诊断并开展积极有效的治疗,以降低患者病死率。
Objective To explore the etiology and diagnosis and treatment of emergency coma in patients with clinical in order to reduce the clinical misdiagnosis rate and mortality of coma patients provide a reference. Methods A retrospective analysis method was used to analyze the clinical data of 117 coma patients admitted to Department of Emergency Medicine, Beijing Geriatric Hospital from January 2010 to October 2011, and summarized the clinical features, diagnosis and treatment features and methods. RESULTS: Among the 117 patients in this study, 88 were correctly diagnosed in 12 hours after admission and the correct rate was 75.2%. The diagnosis was correct in 110 cases within 72 hours with a correct rate of 94.0%. 117 cases of patients after treatment, the success of rescue 99 cases, the success rate of rescue was 84.6%. The incidence of cerebral hemorrhage, cerebral thrombosis, heart failure, drug poisoning and organophosphate poisoning were higher than those of other causes, the difference was statistically significant (P <0.01). Conclusion The causes of coma are complicated and the condition is critical. Therefore, rapid and accurate diagnosis and active and effective treatment are needed to reduce the patient mortality.