Young G B
Department of Clinical Neurological Sciences, University of Western Ontario, London, Canada.
Neurol Clin. 1995 Aug;13(3):645-58.
Neurologic complications of systemic illnesses may affect any part of the nervous system in various conditions. In many systemic disorders, however, an acute confusional state is the first manifestation. It is urgent to make a definitive diagnosis and begin specific and supportive therapy to lessen mortality and morbidity. A case of severe septic illness with central and peripheral nervous system complications is reviewed. Septic encephalopathy and critical illness polyneuropathy are common conditions in the general ICU. The neuropathy often is the underlying cause for failure to wean from the ventilator.
全身性疾病的神经系统并发症在各种情况下可能会影响神经系统的任何部位。然而，在许多全身性疾病中，急性意识模糊状态是首发表现。做出明确诊断并开始特异性和支持性治疗以降低死亡率和发病率至关重要。本文回顾了一例伴有中枢和周围神经系统并发症的严重脓毒症病例。脓毒症脑病和危重病性多发性神经病在普通重症监护病房中很常见。神经病变常常是无法脱机的根本原因。
