CAJ | 학술논문

目的：探讨急诊昏迷患者的分诊与护理。方法选择我院急诊科2013年1月-2014年6月接诊的265例急诊昏迷患者资料进行回顾性分析。结果脑血管病142例，严重颅脑创伤63例，各类中毒25例，低血糖昏迷15例，糖尿病高渗性昏迷8例，尿毒症昏迷3例，肝昏迷3例，中暑昏迷4例，不明原因昏迷2例，分诊正确率92%。结论具备扎实的基本功和丰富的医学知识，正确及时做好对急诊昏迷患者的鉴别分诊，对尽快明确病因起决定作用；及时加强准确有效的急救治疗与护理，直接影响最终的抢救成功率以及患者的康复情况。
목적：탐토급진혼미환자적분진여호리。방법선택아원급진과2013년1월-2014년6월접진적265례급진혼미환자자료진행회고성분석。결과뇌혈관병142례，엄중로뇌창상63례，각류중독25례，저혈당혼미15례，당뇨병고삼성혼미8례，뇨독증혼미3례，간혼미3례，중서혼미4례，불명원인혼미2례，분진정학솔92%。결론구비찰실적기본공화봉부적의학지식，정학급시주호대급진혼미환자적감별분진，대진쾌명학병인기결정작용；급시가강준학유효적급구치료여호리，직접영향최종적창구성공솔이급환자적강복정황。
Objective:To explore the triage and nursing care of acute coma patients. Methods:The clinical materials of 265 cases with coma in the emergency department of our hospital from January,2013 to June,2014 were analyzed retro-spectively. Results:Among the 142 patients with cerebrovascular diseases,63 cases of severe craniocerebral injury,25 ca-ses of poisoning,15 cases of Hypoglycemic coma,8 cases of diabetic hyperosmolar coma,3 cases of Uremic coma,3 pa-tients with hepatic coma,4 cases of heat stroke coma,2 cases of unidentified cause coma,the triage accuracy was 92%. Conclusion:Solid basic skills,rich medical knowledge and the correct timely identification of emergency triage of coma pa-tients play a decisive role in making clear the causes as soon as possible. Strengthening the accurate and effective emergen-cy treatment and nursing care directly affects the success rate of rescue and rehabilitation of patients.