邢垒

[摘要] 目的 对急诊科脑出血昏迷患者的病因进行详细分析并探讨相应的诊断治疗方案。方法 随机选取80例脑出血昏迷患者作为实验研究对象，选取来源为2017年10月—2019年9月该院急诊科收治的患者。对所有患者进行病情诊断及抢救治疗，对患者抢救治疗的效果进行观察和分析。结果 从发病原因来看，急诊科脑出血昏迷患者主要诱发疾病为高压性脑出血。从患者的年龄来看，大于60岁的患者占比71.25%;小于40岁的患者占比28.75%，年龄对比差异有统计学意义（χ2=6.489，P<0.05）。从抢救结果来看，有76例患者抢救成功，占比为95.00%;而有4例患者抢救失败，占比为5.00%。抢救成功率与失败率的比较差异有统计学意义（χ2=8.394，P<0.05）。结论 对脑出血昏迷患者的具体情况做出相应诊断，并给予针对性的治疗，可以降低致死率，并减少疾病对脏器带来的损害。

[关键词] ：急诊科;脑出血昏迷;抢救治疗;临床观察

[Abstract] Objective To analyze in detail the etiology of patients with cerebral hemorrhage and coma in the emergency department and explore the corresponding diagnosis and treatment options. Methods Eighty patients with cerebral hemorrhage and coma were randomly selected as experimental subjects. The patients were selected from October 2017 to September 2019. All patients were diagnosed and rescued， and the effect of rescue treatment was observed and analyzed. Results From the cause of the onset， hypertensive intracerebral hemorrhage is the main induced disease in patients with coma in the emergency department. From the age of patients， the proportion of patients older than 60 years old was 71.5%; the proportion of patients younger than 40 years old was 28.75%， and the difference in age was statistically significant（χ2=6.489， P<0.05）. From the rescue results， 76 patients were successfully rescued， accounting for 95.00%; 4 patients were rescued， accounting for 5.00%. The difference between the rescue success rate and the failure rate was statistically significant（χ2=8.394， P<0.05）. Conclusion The specific diagnosis and treatment of patients with cerebral hemorrhage and coma can reduce the mortality and reduce the damage to the organs caused by the disease.

[Key words] Emergency department; Cerebral hemorrhage coma; Rescue treatment; Clinical observation

急诊科脑出血昏迷是一种神经系统功能障碍性疾病，脑血管在非外伤损害的情况下发生破裂，造成严重的意识障碍。脑出血昏迷疾病的主要临床症状表现为语言障碍，运动功能严重丧失，昏迷不醒，瞳孔放大，有窒息的危险等。这种情况下，由于患者自身已经失去知觉，无法将自身的临床症状反应提供给医生，因而给医生的临床诊断造成了极大的难度，从而容易出现延误最佳治疗时间和漏诊、误诊的情况，严重的威胁了患者的生命安全[1]。因此，为了有效抢救患者的生命，需要提高急诊科脑出血昏迷患者的诊断水平和抢救治疗方案。该文在上述研究的背景下，对从2017年10月—2019年9月期间来该院治疗的患者中随机抽选80脑出血昏迷患者进行抢救治疗，对临床效果进行研究和分析。报道如下。

1  资料与方法

1.1 一般资料

随机选取急诊科收治脑出血昏迷患者80例，其中男性患者33例，女性患者47例;年龄32～77岁，平均年龄为（53.32±5.41）歲;患者昏迷时间1～7 h，平均昏迷时间为（3.72±1.56） h。……