Lavrijsen J C M, van den Bosch J S G, Costongs L G P, Eilander H J, Hoenderdaal P L, Minderhoud J M
Universitair Medisch Centrum St Radboud, afd. Verpleeghuisgeneeskunde, Nijmegen.
Ned Tijdschr Geneeskd. 2003 Feb 1;147(5):195-8.
The term 'vegetative state' is most appropriate for the state which develops when patients open their eyes after a comatose phase, without regaining consciousness. The definition and the diagnostic criteria from the Multi Society Task Force on Persistent Vegetative State are usable for the clinical practice in the Netherlands. The vegetative state must be differentiated from coma, locked-in syndrome and minimally conscious state. A systematic, multidisciplinary approach under the direction of a physician is key to diagnosing vegetative state. To this end, a clinical assessment is recommended with reassessment and verification of the diagnosis at appropriate moments. Careful observation remains the fundamental to the diagnosis.
“植物状态”一词最适用于患者在昏迷期后睁眼但未恢复意识时所呈现的状态。持续性植物状态多学会特别工作组的定义和诊断标准可用于荷兰的临床实践。植物状态必须与昏迷、闭锁综合征和微意识状态相区分。在医生指导下采用系统的多学科方法是诊断植物状态的关键。为此，建议进行临床评估，并在适当时候对诊断进行重新评估和核实。仔细观察仍然是诊断的基础。
