Prasad Manish, Seal Arnab, Mordekar Santosh R
Paediatric Neurology Department, Queen's Medical Centre, Nottingham, UK.
Children's Services, Wortley Beck Health Centre, Leeds Community Healthcare NHS Trust, Leeds, UK.
Arch Dis Child Educ Pract Ed. 2017 Apr;102(2):72-77. doi: 10.1136/archdischild-2016-311068. Epub 2016 Oct 31.
Acute confusional state (ACS) refers to sudden impairment of cognitive function and represents a major medical emergency. The impairment may be global or confined specifically to a particular faculty of higher mental function, such as memory. This review highlights the importance of relevant medical history and clinical signs and symptoms in reaching the correct diagnosis. In this review, we have presented a diagnostic approach to a child presenting with ACS and described commonly encountered causes, their treatments and outcomes. We have also presented an algorithm for the diagnostic approach to the child with ACS.
急性意识模糊状态（ACS）是指认知功能的突然损害，是一种主要的医疗急症。这种损害可能是全面性的，也可能具体局限于某种高级心理功能，如记忆。本综述强调了相关病史以及临床体征和症状对于做出正确诊断的重要性。在本综述中，我们提出了针对患有ACS儿童的诊断方法，并描述了常见病因、其治疗方法及结果。我们还给出了针对患有ACS儿童的诊断方法的算法。
