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目的从临床上探讨急诊内科意识障碍患者病情特征和疾病的原因。方法在2009年3月~2010年5月中向送诊人员询问32例病患的病史,对其进行体格检查和相关的辅助检查,在临床上观察和分析患者病情的特征。统计构成意识障碍的原因。结果急诊内科意识障碍患者以急性脑血管病为主,其次为中毒类疾病、急性感染性疾病、肺性脑病和糖尿病引起的意识障碍。结论引起急诊内科意识障碍的因素很多,因此比较复杂,但是主要是由常见病引起,在临床上对其指征要引起注意和观察。在治疗过程中要与患者家属积极配合,引导其家属对其查体和观察,争取有针对的及时治疗。
Objective To investigate the clinical features and causes of illness in patients with emergency medical consciousness disorders. Methods From March 2009 to May 2010, patients were asked about the medical history of 32 patients, their physical examination and related auxiliary examinations, and their clinical characteristics were observed and analyzed. Statistics constitute the reasons for disturbance of consciousness. Results Acute cerebrovascular disease patients were mainly acute cerebrovascular disease patients, followed by poisoning disease, acute infectious diseases, pulmonary encephalopathy and diabetes-induced disturbance of consciousness. Conclusion There are many factors that cause the disturbance of consciousness in emergency department, so it is complicated, but it is mainly caused by common diseases. It is necessary to pay attention to and observe the indications in clinic. In the course of treatment and family members to actively cooperate with their families to guide their physical examination and observation, for targeted timely treatment.