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[小儿神经科急诊]

[Neuropediatric emergency].

作者信息

Arndt R

机构信息

Kinderklinik des Klinikums Neubrandenburg.

出版信息

Kinderarztl Prax. 1993 Nov;61(9):341-4.

PMID:8114463
Abstract

The neuropaediatric emergency can be considered according to 1. The primary symptom, single or combined or 2. The diagnosed disease as a whole. Primary combined symptoms are: 1. Disturbance of Consciousness, fever, emesis, skin bleeding (inflammation). 2. Disturbance of consciousness, emesis, normal temperature, stretched fontanel (brain pressure). 3. Disturbance of consciousness, seizure disorder, normal temperature (epileptic fit). 4. Disturbance of consciousness, seizure disorder, fever (febrile seizure). 5. Disturbance of consciousness, bruise marks, normal temperature, accident (skull-cerebral trauma) Procedure used by the physician: 1. Avoidance of additional sequelae (aspiration, injury). 2. Protection of vital functions. 3. Ascertainment of causes. 4. Creating an intravenous access. 5. Drug therapy. 6. If necessary, intubation and respiration. 7. Transport to hospital

摘要

小儿神经科急症可根据以下两种情况来考虑

  1. 单一或合并的主要症状;2. 整体诊断出的疾病。主要合并症状有:1. 意识障碍、发热、呕吐、皮肤出血(炎症)。2. 意识障碍、呕吐、体温正常、囟门紧张(脑压)。3. 意识障碍、癫痫发作、体温正常(癫痫发作)。4. 意识障碍、癫痫发作、发热(热性惊厥)。5. 意识障碍、瘀斑、体温正常、意外事故(颅脑外伤)。医生采用的步骤:1. 避免额外的后遗症(误吸、损伤)。2. 保护重要功能。3. 查明病因。4. 建立静脉通路。5. 药物治疗。6. 必要时进行插管和呼吸支持。7. 转运至医院

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