Amorim Robson Luis Oliveira de, Nagumo Marcia Mitie, Paiva Wellingson Silva, Andrade Almir Ferreira de, Teixeira Manoel Jacobsen
PhD - Assistant Physician of the Neurosurgical Emergency Unit, Division of Neurosurgery, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Nurse - MSc Student at the Neurosurgical Emergency Unit, Division of Neurosurgery, Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil.
Rev Assoc Med Bras (1992). 2016 Jul;62(4):377-84. doi: 10.1590/1806-9282.62.04.377.
In clinical practice, hospital admission of patients with altered level of consciousness, sleepy or in a non-responsive state is extremely common. This clinical condition requires an effective investigation and early treatment. Performing a focused and objective evaluation is critical, with quality history taking and physical examination capable to locate the lesion and define conducts. Imaging and laboratory exams have played an increasingly important role in supporting clinical research. In this review, the main types of changes in consciousness are discussed as well as the essential points that should be evaluated in the clinical management of these patients.
在临床实践中，意识水平改变、嗜睡或无反应状态的患者入院极为常见。这种临床状况需要进行有效的检查和早期治疗。进行有针对性的客观评估至关重要，高质量的病史采集和体格检查能够定位病变并确定治疗方案。影像学和实验室检查在支持临床研究方面发挥着越来越重要的作用。在本综述中，讨论了意识改变的主要主要主要类型以及这些患者临床管理中应评估的要点。
