CAJ | 학술논문

目的：分析低渗性昏迷患者的诊断及治疗，提高临床工作者对该疾病的诊治水平。方法回顾性分析我院2010年1月～2013年7月误诊的26例低渗性昏迷患者的临床资料，总结误诊状况、分析误诊原因并观察治疗结果。结果26例患者均以神志恍惚为首发症状，入院均误诊为脑梗死，经过临床查体、头颅CT以及生化检查最终确诊为低渗性昏迷，输入高渗盐水治疗，患者意识情况渐好转，电解质恢复正常。结论临床工作者应掌握低渗性昏迷患者的发病特点，针对性进行影像学以及实验室检查，减少误诊的发生。
목적：분석저삼성혼미환자적진단급치료，제고림상공작자대해질병적진치수평。방법회고성분석아원2010년1월～2013년7월오진적26례저삼성혼미환자적림상자료，총결오진상황、분석오진원인병관찰치료결과。결과26례환자균이신지황홀위수발증상，입원균오진위뇌경사，경과림상사체、두로CT이급생화검사최종학진위저삼성혼미，수입고삼염수치료，환자의식정황점호전，전해질회복정상。결론림상공작자응장악저삼성혼미환자적발병특점，침대성진행영상학이급실험실검사，감소오진적발생。
Objective To analyze the diagnosis and treatment of patients with hypotonic coma,and improve the diagnosis and treatment level of this disease. Methods The clinical data of misdiagnosis of 26 patients with hypotonic coma from January 2010 to July 2013 in our hospital were retrospectively analyzed;the misdiagnosis data was summarized,the causes of misdiagnosis was analyzed and the treatment outcomes was observed. Results The first symptom of 26 patients were absentminded, they were misdiagnosed as cerebral infarction,but they were eventually diagnosed as hypotonic coma by clinical examination,CT and biochemical tests,and treated with Hypertonic saline, the patients gradually improved situation awareness,electrolyte restored normal. Conclusion Clinicians should understand the clinical characteristics of hypotonic coma, targeted for imaging and laboratory tests to reduce the incidence of misdiagnosis.