摘要
【目的】探讨急诊内科昏迷患者的病因构成及预后影响因素。【方法】选择本院收治的127例急诊内科昏迷患者，对其病因、病死率及预后相关因素进行分析。【结果]127例昏迷患者中急性脑血管意外致昏迷者最为常见，计48例，占37．8％，其次是各种休克，计37例，占29．1％，再次是外源性中毒，计24例，占18．9％。共27例最终死亡，病死率为21．3％，少尿或无尿、高热以及血压异常为致死的直接因素。【结论】昏迷患者原发病因较多，病情较急、较重，快速准确的诊断和积极有效的治疗是提高抢救成功率的关键。
[Objective] To explore the causes and prognostic factors of patients with emergency medical coma. [Methods]Totally 127 cases of emergency medical coma in our hospital were chosen. The causes, mor- tality and prognosis-related factors were analyzed. [Results] Of 127 cases, the coma caused by acute cerebral vascular accident was the most common and accounted for 37.8 % （48 cases）, then a various of shocks accoun- ted for 29.1%（37 cases） and heterointoxication accounted for 18.90//00 （24 cases）. About 27 cases died in the last and the fatality rate was 21.3%. Little or no urine, hypoxia and abnormal blood pressure were the direct factors causing death. [Conclusion] The patients with coma have more causes with acute and severe pathoge- netic condition. Rapid and accurate diagnosis and effective treatment is the key to improve the success rate of the management.
出处
《医学临床研究》
CAS
2012年第3期481-483,共3页
Journal of Clinical Research
