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目的:对急诊内科意识障碍患者病因及对预后影响进行研究。方法:对200例急诊内科意识障碍患者病历进行回顾性分析,研究病因及预后。结果:意识障碍病病因学构成主要包括:神经系统疾病、中毒、休克、心力衰竭、肝性脑病、肺性脑病、低血糖性昏迷、糖尿病酮症酸中毒、恶性肿瘤致意识障碍、癔症、电解质紊乱、新型毒品吸食过量、各种意外。中毒患者的平均年龄明显低于其他组(P<0.05),神经系统疾病动脉压高于其他组(P<0.05)。结论:急诊内科意识障碍患者的发病原因非常复杂,以神经系统疾病及中毒为主,程度越严重病死率越高。
Objective: To study the etiology and prognosis of patients with emergency medical consciousness. Methods: A retrospective analysis was performed on the medical records of 200 cases of patients with medical disorders and their etiology and prognosis. Results: The etiology of consciousness disorder mainly consisted of neurological diseases, poisoning, shock, heart failure, hepatic encephalopathy, pulmonary encephalopathy, hypoglycemic coma, diabetic ketoacidosis, consciousness disorder caused by malignant tumor, hysteria, electrolyte Disorder, excessive consumption of new drugs, all kinds of accidents. The average age of poisoning patients was significantly lower than other groups (P <0.05), and arterial pressure of neurological diseases was higher than other groups (P <0.05). Conclusions: The causes of the patients with emergency medical consciousness disorders are very complicated. The main causes are nervous system diseases and poisoning, and the more serious the case fatality rate is.