[昏迷状态的临床评估]
[Clinical evaluation of coma states].
作者信息
Tulasne P A
机构信息
Département d'anesthésie-réanimation, Centre de traumatologie orthopédique, Strasbourg - Illkirch.
出版信息
Agressologie. 1990;31(9):621-8.
PMID:2096716
Abstract
Coma is difficult to define and the different gradings and scales (Glasgow, Liège) are practically used and usefull. The development of pre-hospital management and patient imaging make clinical evaluation in the acute phase of lesser importance. Brain death pose a problem for diagnostic, features (permanent loss of cerebral functions) and legal aspects. Loss of integrated neuronal functions with persistent brain stem activity will define persistent vegetative state.
摘要
昏迷很难定义，不同的分级和量表（格拉斯哥量表、列日量表）在实际中得到应用且很有用。院前管理和患者影像学的发展使得急性期的临床评估重要性降低。脑死亡在诊断、特征（大脑功能永久性丧失）和法律方面都构成问题。伴有持续性脑干活动的整合性神经元功能丧失将定义为持续性植物状态。
相似文献
1
[Clinical evaluation of coma states].[昏迷状态的临床评估]
Agressologie. 1990;31(9):621-8.
2
[Persistent vegetative state: medical, moral, legal and economic aspects].[持续性植物状态：医学、道德、法律及经济方面]
Folia Med Cracov. 1998;39(3-4):73-7.
3
Prognostic factors in severe head injury.重型颅脑损伤的预后因素
Surg Gynecol Obstet. 1984 Dec;159(6):597-604.
4
[Clinical examination of the comatose patient].
Rev Prat. 1989 Nov 21;39(27):2399-409.
5
[Clinical aspects of brain death].[脑死亡的临床方面]
Wien Med Wochenschr. 1990;140(23-24):556-9.
6
7
The Coma Exit Chart: assessing the patient in prolonged coma and the vegetative state.昏迷苏醒图表：评估长期昏迷和植物状态的患者。
Brain Inj. 1996 Aug;10(8):615-24. doi: 10.1080/026990596124188.
8
Can cerebral hypoperfusion after sympathetic storm be used to diagnose brain death? A retrospective survey in traumatic brain injury patients.交感风暴后的脑灌注不足能否用于诊断脑死亡？一项针对创伤性脑损伤患者的回顾性调查。
J Trauma. 2008 Mar;64(3):688-97. doi: 10.1097/TA.0b013e31815ede12.
9
The persistent vegetative state: the medical reality (getting the facts straight).持续性植物状态：医学现实（澄清事实）
Hastings Cent Rep. 1988 Feb-Mar;18(1):27-32.
10
[Coma and cerebral death].[昏迷与脑死亡]
Rev Prat. 1989 Nov 21;39(27):2428-33.
Zotero 插件