CAJ | 학술논문

目的：分析急诊内科的昏迷患者的病因及处理措施。方法回顾性分析我院106例急诊内科患者临床资料，总结诊断及处理措施。结果106例患者以脑血栓、脑出血、急性有机磷农药中毒及药物中毒为主，总计占比64.2％，12 h内诊断正确率为81.1％，24 h内诊断正确104例，正确率为98.1％，2例急性胰腺炎患者待细菌培养结果后确诊。共9例患者死亡，其中突发性脑血栓4例，大面积脑出血2例，急性有机磷农药中毒1例，药物中毒1例，心功能衰竭1例，死亡9例患者的GCS评分显著低于治愈或好转患者，χ2＝20.418，P＜0.001。结论尽早对昏迷病因准确诊断及对症治疗是提高急诊内科昏迷患者预后的关键。
목적：분석급진내과적혼미환자적병인급처리조시。방법회고성분석아원106례급진내과환자림상자료，총결진단급처리조시。결과106례환자이뇌혈전、뇌출혈、급성유궤린농약중독급약물중독위주，총계점비64.2％，12 h내진단정학솔위81.1％，24 h내진단정학104례，정학솔위98.1％，2례급성이선염환자대세균배양결과후학진。공9례환자사망，기중돌발성뇌혈전4례，대면적뇌출혈2례，급성유궤린농약중독1례，약물중독1례，심공능쇠갈1례，사망9례환자적GCS평분현저저우치유혹호전환자，χ2＝20.418，P＜0.001。결론진조대혼미병인준학진단급대증치료시제고급진내과혼미환자예후적관건。
Objective To explore cause analysis and treatment measures of coma patients in medical emergency .Methods Retrospec-tively analyzing clinical data of 106 cases in medical emergency , and summarizing the diagnosis and treatment measures .Results Cerebral thrombosis, cerebral hemorrhage , acute organophosphorus pesticide poisoning and poisoning accounting for 64.2%were mainly the reason of emergency in medical patients .The diagnostic accuracy was 81.1%in 12 h,and 98.1%in 24 h.2 cases acute pancreatitis were diag-nosed by bacteria culture .A total of 9 patients died , including 4 cases of sudden cerebral thrombosis , 2 cases of a large area of cerebral hemorrhage , 1 case of acute organophosphorus pesticide poisoning , 1 case of poisoning and 1 case of heart function failure .The GCS score in the nine died persons was significantly lower than cured or improved person ,χ2 =20.418, P<0.001.Conclusion Shortening the time between visits , early and accurate diagnosis of the cause coma and symptomatic treatment is the key to improve the prognosis of patients with emergency medicine coma .