Division of Critical Care Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Neurol Clin. 2012 Feb;30(1):1-9, vii. doi: 10.1016/j.ncl.2011.09.009. Epub 2011 Oct 11.
This article provides a comprehensive overview of the management of patients with coma. The article begins with a discussion of the emergency management of patients presenting with an acute alteration in the level of consciousness. It then reviews concepts on supportive care that are necessary to reduce secondary neurologic injury. A third section addresses management according to the underlying cause of coma, with emphasis on diagnoses that are frequently encountered. Issues related to the long-term management of patients in coma and outcome prediction are briefly discussed.
这篇文章全面概述了昏迷患者的管理。文章首先讨论了急性意识水平改变患者的急救管理。然后，它回顾了减少继发性神经损伤所需的支持性护理概念。第三节根据昏迷的潜在原因进行管理，重点介绍了常见的诊断。文章还简要讨论了昏迷患者的长期管理和预后预测相关问题。
