《急诊神经科生命支持：昏迷患者的处理方法》

Emergency Neurological Life Support: Approach to the Patient with Coma.

作者信息

Stevens Robert D, Cadena Rhonda S, Pineda Jose

机构信息

Departments of Anesthesiology and Critical Care Medicine; Neurology; Neurosurgery; and Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Departments of Neurology, Neurosurgery, and Emergency Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

出版信息

Neurocrit Care. 2015 Dec;23 Suppl 2:S69-75. doi: 10.1007/s12028-015-0174-1.

DOI:10.1007/s12028-015-0174-1

PMID:26438464

Abstract

Coma is an acute failure of neuronal systems governing arousal and awareness and represents a medical emergency. When encountering a comatose patient, the clinician must have an organized approach to detect easily remediable causes, prevent ongoing neurologic injury, and determine a hierarchical plan for diagnostic tests, treatments, and neuromonitoring. Coma was chosen as an Emergency Neurological Life Support 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.

摘要

昏迷是控制觉醒和意识的神经系统急性衰竭，是一种医疗急症。遇到昏迷患者时，临床医生必须采用有条理的方法来发现易于纠正的病因，预防持续的神经损伤，并确定诊断检查、治疗和神经监测的分级计划。选择昏迷作为紧急神经生命支持方案，是因为及时的医学和外科干预可能挽救生命，对此类患者的初步检查对于确立正确诊断至关重要。