Jacobs B B
Crit Care Nurs Clin North Am. 1995 Sep;7(3):427-44.
Because the spectrum of severity of neurologic events ranges from minor to life-threatening, and many neurologic reasons exist to seek health care, this article focuses on some of the more common pathologies. A general assessment plan is presented that may be adapted for the specific problems that individual patients present. Pain is discussed in relation to the nociceptor transmission of painful stimuli. An example of pain from a neurogenic shock-induced migraine headache is discussed from pathogenesis, presentation, and intervention viewpoints. Alterations in cerebral blood flow, cerebrovascular accidents, and subarachnoid hemorrhage are reviewed from a pathophysiologic perspective.
由于神经系统事件的严重程度范围从小病到危及生命，而且有许多神经系统方面的原因促使人们寻求医疗保健，因此本文重点关注一些较为常见的病症。本文提出了一个通用的评估方案，该方案可根据个体患者出现的具体问题进行调整。本文讨论了与疼痛刺激的伤害性感受器传递相关的疼痛问题。从发病机制、临床表现和干预措施的角度，讨论了神经源性休克诱发的偏头痛性头痛所致疼痛的一个实例。本文从病理生理学角度综述了脑血流量改变、脑血管意外和蛛网膜下腔出血。
