Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Neurocrit Care. 2012 Sep;17 Suppl 1:S54-9. doi: 10.1007/s12028-012-9755-4.
Coma is an acute failure of neuronal systems governing arousal and awareness and represents a neurological emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remedial causes, prevent ongoing neurologic injury, and determine a hierarchy of diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support (ENLS) protocol because timely medical and surgical interventions can be life-saving, and the initial work-up of such patients is critical to establishing a correct diagnosis.
昏迷是控制觉醒和意识的神经元系统的急性衰竭，代表着一种神经系统急症。当遇到昏迷患者时，临床医生必须有一个有条理的方法来发现容易纠正的原因，防止持续的神经损伤，并确定诊断测试、治疗和神经监测的优先级。昏迷被选为紧急神经生命支持 (ENLS) 方案，因为及时的医疗和手术干预可以挽救生命，而对这些患者的初步评估对于确定正确的诊断至关重要。
