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意识障碍:植物状态和微意识状态

[Consciousness disorders: vegetative state and minimally conscious state].

作者信息

Ciszowski Krzysztof, Mietka-Ciszowska Aneta

机构信息

Klinika Toksykologii i Chorób, Srodowiskowych Wydziału Lekarskiego, Collegium Medicum Uniwersytetu, Jagiellońskiego w Krakowie.

Oddział Toksykologii i Chorób Wewnetrznych z Pododdziatem Detoksykacji, Szpitala Specjalistycznego im Ludwika Rydygiera w Krakowie.

出版信息

Przegl Lek. 2013;70(8):595-600.

Abstract

Brain injury due to hypoxia, trauma, stroke, poisoning, and other pathological conditions may result in chronic disorders of consciousness in the form of vegetative state (VS) or minimally conscious state (MCS). VS is a condition defining patients who have awaken from coma, open eyes spontaneously or on command, but still are not aware of themselves or their environment, showing only a reflex motor responses. MCS is a condition in which patients are not able to communicate consistently, but they are not already in the VS, because of evident signs of awareness of themselves and the environment. The paper discusses the diagnostic criteria, etiology as well as diagnostic procedures and treatment of VS and MCS

摘要

缺氧、创伤、中风、中毒及其他病理状况导致的脑损伤可能会引发植物状态(VS)或微意识状态(MCS)等慢性意识障碍。植物状态是指患者从昏迷中苏醒,能自主睁眼或按指令睁眼,但仍对自身或周围环境毫无意识,仅表现出反射性运动反应的一种状态。微意识状态则是指患者无法持续进行交流,但因存在明显的自我及环境意识迹象,所以不属于植物状态。本文探讨了植物状态和微意识状态的诊断标准、病因以及诊断程序与治疗方法。

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