埃及苏伊士运河大学医院急诊科非创伤性意识改变病因的调查研究。
Survey study of the etiology of non-traumatic altered consciousness in the Emergency Department at Suez Canal University Hospital in Egypt.
作者信息
Moussa Bassant S, Abd Elatiff Zeinab M, Kamal Eldin Elhadary Ghada M
机构信息
Emergency Medicine Department, Suez Canal University, Faculty of Medicine, Ismailia 41522, Egypt.
出版信息
World J Clin Cases. 2023 Feb 26;11(6):1310-1317. doi: 10.12998/wjcc.v11.i6.1310.
BACKGROUND
Disorders of consciousness including coma in non-trauma patients can be caused by a wide variety of pathologies affecting the central nervous system. They represent a frequent challenge in emergency medicine and are combined with a very high in-hospital mortality. Hence, early treatment of these patients is vital and increases the likelihood of a good outcome.
AIM
To identify the causes of altered consciousness presentation to the Emergency Department at Suez Canal University Hospital.
METHODS
This was a descriptive cross-sectional study conducted on 87 patients with acute non-traumatic disturbed level of consciousness (DLOC) at the Emergency Department.
RESULTS
The mean age of the studied patients was 60.5 ± 13.6 years. Among them, 60% were males and 40% were females. The most common cause of acute non-traumatic DLOC was systemic infection, such as sepsis and septic shock (25.3%), followed by respiratory causes (24.1%) and neurological causes (18.4%).
CONCLUSION
The most common cause of acute non-traumatic DLOC was systemic infections followed by respiratory and neurological causes.
背景
包括非创伤性患者昏迷在内的意识障碍可由影响中枢神经系统的多种病理状况引起。它们是急诊医学中常见的挑战，且与极高的院内死亡率相关。因此，对这些患者进行早期治疗至关重要，并能增加获得良好预后的可能性。
目的
确定在苏伊士运河大学医院急诊科出现意识改变的原因。
方法
这是一项对急诊科87例急性非创伤性意识障碍（DLOC）患者进行的描述性横断面研究。
结果
研究患者的平均年龄为60.5±13.6岁。其中，60%为男性，40%为女性。急性非创伤性DLOC最常见的原因是全身感染，如败血症和感染性休克（25.3%），其次是呼吸系统原因（24.1%）和神经系统原因（18.4%）。
结论
急性非创伤性DLOC最常见的原因是全身感染，其次是呼吸系统和神经系统原因。
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