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目的:探讨急诊内科患者的临床诊断和治疗方法,为急诊内科昏迷患者的临床治疗提供参考。方法:回顾性总结分析我院在2010年1月至2012年12月期间收治的80例急诊内科昏迷患者的临床病例资料,总结上述昏迷患者的临床诊断和治疗方法。结果:本次研究的80例急诊内科昏迷患者经过积极的抢救与治疗,抢救成功者67例,所占比例为83.75%,患者死亡13例,所占比例为16.25%。在13例急诊内科死亡患者中,死于心脑血管疾病的最多,共4例,占30.77%;依次是死于呼吸系统疾病的患者,共3例,占23.07%;患者死于中毒的共2例,占15.38%;猝死患者1例,占7.70%;死于其他原因的2例,占15.38%。结论:对急诊内科昏迷患者进行及时准确的病因诊断,并采取积极有效的急救措施,是急诊内科昏迷患者抢救成功的关键。
Objective: To explore the clinical diagnosis and treatment of emergency medical patients and provide reference for the clinical treatment of patients with emergency medical coma. Methods: A retrospective analysis of our hospital from January 2010 to December 2012 80 cases admitted to the clinical data of patients with coma in the emergency department, summarize the clinical diagnosis and treatment of coma patients. Results: In this study, 80 patients with emergency medical coma after active rescue and treatment, the successful rescue of 67 cases, the proportion was 83.75%, 13 patients died, the proportion was 16.25%. Among the 13 patients who died of acute medical emergencies, the most died of cardiovascular and cerebrovascular diseases in 4 cases (30.77%), followed by 3 patients (23.07%) died of respiratory diseases. The patients died of poisoning 2 cases, accounting for 15.38%; 1 case of sudden death, accounting for 7.70%; 2 cases died of other causes, accounting for 15.38%. Conclusion: It is the key to the successful rescue of coma patients in emergency department by timely and accurate etiological diagnosis of emergency coma patients and taking active and effective first aid measures.