Department of Emergency Medicine, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium.
Neurol Clin. 2012 Feb;30(1):359-84, x-xi. doi: 10.1016/j.ncl.2011.10.003.
The prognosis of patients with altered consciousness is mainly determined by early diagnosis and appropriate therapeutic interventions and by the type of toxin. The potential causes of altered consciousness are many and may reflect systemic illness, isolated organ system dysfunction, drug intoxications or withdrawal, psychiatric illness, or neurologic disease. In this article, a comprehensive approach to patients with altered consciousness and suspected poisoning is discussed. This survey, however, does not intend to be a substitute for the need for consultation with a clinical toxicologist qualified in the diagnosis and treatment of poisoned patients.
意识改变患者的预后主要取决于早期诊断和适当的治疗干预,以及毒素的类型。意识改变的潜在原因很多,可能反映全身性疾病、孤立的器官系统功能障碍、药物中毒或戒断、精神疾病或神经疾病。本文讨论了意识改变和疑似中毒患者的综合处理方法。但是,本调查并非旨在替代需要咨询具有诊断和治疗中毒患者资格的临床毒理学家。