摘要
目的就神经内科昏迷患者的治疗方案及诊断分析展开论述,探讨临床疗效。方法方便选取2018年9月—2019年9月来该院治疗就诊的58例神经内科昏迷患者作为调查对象,按照患者入院顺序随机整理所有患者一般资料,评估病情,针对病征进行救助治疗。比较所有患者治疗前后临床资料,开展回顾性分析。结果导致神经内科患者昏迷的主要原因为脑血管疾病、颅内感染,共有34例,所占比例为58.62%,在对所有神经内科昏迷患者实施对症治疗后,有51例患者的治疗显效,占总人数比例为87.93%,其中有3例治疗有效,虽然患者生命体征逐渐趋于稳定,但无自主意识苏醒的征兆,所占比例为5.17%,其中治疗无效为4例,有4人死亡,病死率6.90%。在对所有患者的有效救助过程中,患者血氧动脉分压(PaO2)及血氧饱和度(SaO2)都有不同程度的上升,而PaCO2(二氧化碳分压)、RR(呼吸频率)指标则呈现下降趋势。死亡患者的致死原因包括颅内感染死亡以及脑血管疾病死亡。结论神经内科昏迷患者发病突然,病因不明,病情恶劣进展较快且患者自身通常病情较重,因此,在最短的时间里对患者的病因做出判断,评估患者病情,具有针对性地给予科学、合理的救助方案,能够有效采取相应措施,提高神经内科昏迷患者的抢救成功率,提高患者生存率和治愈率。
Objective To discuss the treatment plan and diagnostic analysis of patients with coma in neurology,and to explore the clinical efficacy.Methods Fifty-eight patients with neurological coma who came to the hospital for treatment from September 2018 to September 2019 are convenient selection now investigated.Randomly sorting out the general information of all patients according to the patient's admission order,assessing the condition,and providing rescue treatment for the symptoms.The clinical data of all patients before and after treatment were compared and a retrospective analysis was performed.Results The main cause of coma in neurological patients was cerebrovascular disease and intracranial infection.There were 34 cases,accounting for 58.62%.After the symptomatic treatment of all neurological coma patients,the treatment of 51 patients was significantly,and the total number of people was 87.93%,of which 3 cases were effective in treatment.Although the patient's vital signs gradually stabilized,the sign of unconscious awakening was 5.17%,of which 4 cases were ineffective and 4 died.The mortality rate is 6.90%.In the effective rescue process for all patients,patients'blood oxygen arterial partial pressure(PaO2)and blood oxygen saturation(SaO2)have increased to varying degrees,while PaCO2(partial carbon dioxide pressure)and RR(respiratory frequency)indicators show downtrend.The causes of death include death from intracranial infection and death from cerebrovascular disease.Conclusion Neurological coma patients have sudden onset,unknown etiology,rapid progress of the disease,and the patients themselves are usually more severe.Therefore,the patient's etiology is judged in the shortest time,the patient's condition is evaluated,and scientific,a reasonable rescue plan can effectively take corresponding measures to improve the rescue success rate of patients with coma in neurology,and improve the survival rate and cure rate of patients.
作者
孔顺利
马艳红
KONG Shun-li;MA Yan-hong(Department of Neurology,Yanzhou Hospital,Affiliated Hospital of Jining Medical College,Jining,Shandong Province,272000 China)
出处
《中外医疗》
2020年第15期14-16,共3页
China & Foreign Medical Treatment
关键词
神经内科
临床诊断
感染
治疗方案
Neurology
Clinical diagnosis
Infection
Treatment plan
