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目的:对急诊内科的昏迷患者病因和抢救措施的调查研究。方法:对192例急诊科的昏迷患者临床资料进行回顾性分析,并总结患者的病因和临床特征,制定治疗方案。结果:通过对192例昏迷的患者临床资料的分析总结,可以得知,急性中毒和原发性脑疾病是最为常见的昏迷原因,随后是糖尿病并发症,继发性脑病也可以引起昏迷,其中有死亡病例42例,死亡原因主要是脑血管病以及中毒。结论:急诊内科患者的昏迷主要原因是原发性脑病及急性中毒,因此要早期准确诊断,并且配合及时有效的临床治疗,才可以保证抢救的成功率。
Objective: To investigate the etiology and rescue measures of patients in coma of emergency medicine. Methods: A retrospective analysis was performed on the clinical data of 192 emergency department patients and their causes and clinical features were summarized. Results: Based on the analysis of the clinical data of 192 coma patients, we can see that acute poisoning and primary brain disease are the most common causes of coma, followed by diabetic complications and secondary encephalopathy can also cause coma, of which There are 42 death cases, the main cause of death is cerebrovascular disease and poisoning. Conclusion: The main reason of coma for emergency medical patients is primary encephalopathy and acute poisoning. Therefore, it is necessary to diagnose early and accurately, and with timely and effective clinical treatment, the success rate of rescue can be guaranteed.