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本文引用的文献

1
Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative.医院内紧急情况的危机检查表:多机构多学科学习协作确定模板的专家共识、模拟测试及建议
BMC Health Serv Res. 2017 May 8;17(1):334. doi: 10.1186/s12913-017-2288-y.
2
Coma of unknown origin in the emergency department: implementation of an in-house management routine.急诊科不明原因昏迷:内部管理流程的实施
Scand J Trauma Resusc Emerg Med. 2016 Apr 27;24:61. doi: 10.1186/s13049-016-0250-3.
3
Prognostic and diagnostic value of EEG signal coupling measures in coma.脑电图信号耦合测量在昏迷中的预后和诊断价值
Clin Neurophysiol. 2016 Aug;127(8):2942-2952. doi: 10.1016/j.clinph.2015.08.022. Epub 2015 Oct 24.
4
The etiology and outcome of non-traumatic coma in critical care: a systematic review.重症监护中非创伤性昏迷的病因及转归:一项系统综述
BMC Anesthesiol. 2015 Apr 29;15:65. doi: 10.1186/s12871-015-0041-9.
5
The new neurometabolic cascade of concussion.脑震荡的新神经代谢级联反应。
Neurosurgery. 2014 Oct;75 Suppl 4(0 4):S24-33. doi: 10.1227/NEU.0000000000000505.
6
Diagnosis of reversible causes of coma.昏迷可逆病因的诊断。
Lancet. 2014 Dec 6;384(9959):2064-76. doi: 10.1016/S0140-6736(13)62184-4. Epub 2014 Apr 21.
7
Oral-toxicology.口腔毒理学
J Forensic Dent Sci. 2014 Jan;6(1):3-8. doi: 10.4103/0975-1475.127763.
8
Emergency neurological life support: approach to the patient with coma.紧急神经生命支持:昏迷患者的处理方法。
Neurocrit Care. 2012 Sep;17 Suppl 1:S54-9. doi: 10.1007/s12028-012-9755-4.
9
Metabolic vs structural coma in the ED--an observational study.急诊中的代谢性昏迷与结构性昏迷——一项观察性研究。
Am J Emerg Med. 2012 Nov;30(9):1986-90. doi: 10.1016/j.ajem.2012.04.032. Epub 2012 Jul 15.
10
Causes of coma and their evolution in the medical intensive care unit.医学重症监护病房中昏迷的病因及其演变
J Neurol. 2012 Jul;259(7):1474-7. doi: 10.1007/s00415-011-6388-z. Epub 2012 Jan 10.

系统地处理无意识患者。

A systematic approach to the unconscious patient.

机构信息

University Hospital of South Manchester, UK.

Salford Royal NHS Foundation Trust, UK.

出版信息

Clin Med (Lond). 2018 Feb;18(1):88-92. doi: 10.7861/clinmedicine.18-1-88.

DOI:10.7861/clinmedicine.18-1-88
PMID:29436445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6330912/
Abstract

Unconscious patients are commonly seen by physicians. They are challenging to manage and in a time sensitive condition, a systematic, team approach is required. Early physiological stability and diagnosis are necessary to optimise outcome. This article focuses on unconscious patients where the initial cause appears to be non-traumatic and provides a practical guide for their immediate care.

摘要

医生经常会遇到无意识的患者。这些患者的治疗极具挑战性,且情况紧急,因此需要系统的、团队合作的方法。早期的生理稳定和诊断对于优化结果是必要的。本文重点介绍了初始病因似乎是非创伤性的无意识患者,并为他们的即时护理提供了实用指南。