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目的:总结危重患者瞳孔改变对判断疾病治疗效果的临床意义。方法:对217例昏迷患者按不同的病因分为两组,观察瞳孔变化。结果:217例危重患者中,结构性昏迷的患者135例,代谢性昏迷82例,结构性昏迷组患者的瞳孔异常变化例数大于代谢性昏迷组,结构性昏迷组患者的瞳孔对光反射迟钝或消失的例数大于代谢性昏迷组,两组比较,差异有显著性,P<0.05。结论:掌握危重患者瞳孔变化特点,及时发现疾病变化先兆,为救治赢得有利时机,提高患者救治率。
Objective: To summarize the clinical significance of pupil changes in critically ill patients in judging the effect of disease treatment. Methods: A total of 217 patients with coma were divided into two groups according to different etiologies, and pupillary changes were observed. Results: Of the 217 critically ill patients, 135 cases of structural coma, 82 cases of metabolic coma, and the number of pupil abnormalities in structural coma were larger than those in metabolic coma, and the pupil of structural coma was retarded in light reflex Or disappeared more than the number of metabolic coma group, the two groups, the difference was significant (P <0.05). Conclusion: Grasp the characteristics of pupil changes in critically ill patients, and timely detection of disease precursors for treatment and treatment to win a favorable opportunity to improve the treatment rate of patients.