Goldstein Joshua N, Greer David M
Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
Emerg Med Clin North Am. 2009 Feb;27(1):1-16, vii. doi: 10.1016/j.emc.2008.07.002.
In the emergency and critical care setting, a comprehensive and thorough neurologic examination can be impractical. The clinical context should therefore focus the examination on those features relevant to acute diagnosis and management. This article discusses how to direct the history and examination in patients who have focal complaints, possible strokes affecting the anterior or posterior circulations, neck or back pain, neuromuscular complaints, global symptoms, or nonanatomic complaints.
在急诊和重症监护环境中，进行全面彻底的神经系统检查可能并不实际。因此，临床情况应将检查重点放在与急性诊断和管理相关的特征上。本文讨论了如何针对有局灶性主诉、可能影响前循环或后循环的中风、颈部或背部疼痛、神经肌肉主诉、全身性症状或非解剖学主诉的患者进行病史询问和检查。
