昏迷抢救18rmvb精品课件.ppt

昏 迷coma;昏迷抢救18.rmvb;当我们身边突然出现疑似昏迷的病人时，鉴别病人是否昏迷最简单的办法是… 在护送病人去医院途中，要注意做好…… ;用棉芯轻触一下病人的角膜，正常人或轻症病人都会出现眨眼动作，而昏迷特别是深昏迷病人毫无反应。当确定病人昏迷时，应尽快送病人到医院抢救。; 教学目标;Definition;判断意识障碍程度disturbance of consciousness ;Summary：;What is Coma and Persistent Vegetative State?;A persistent vegetative state ( “brain-death”) sometimes follows a coma. Individuals in such a state have lost their thinking abilities and awareness of their surroundings, but retain non-cognitive function and normal sleep patterns. Even though those in a persistent vegetative state lose their higher brain functions, other key functions such as breathing and circulation remain relatively intact. Spontaneous movements may occur, and the eyes may open in response to external stimuli. They may even occasionally grimace(痛苦的表情), cry, or laugh. ;Etiology;Assessment;History collection;The degree of disturbance of consciousness昏迷程度的临床分级;The degree of disturbance of consciousness;Vital signs;Vital signs;Vital signs;Laboratory examination;Differentiate diagnosis;Is there any treatment?;Nursing;Nursing;Nursing;Nursing;What is the prognosis?;Recovery usually occurs gradually, with some acquiring more and more ability to respond. Some individuals never progress beyond very basic responses, but many recover full awareness. Individuals recovering from coma require close medical supervision. A coma rarely lasts more than 2 to 4 weeks. Some patients may regain a degree of awareness after persistent vegetative state. Others may remain in that state for years or even decades. The most common cause of death for someone in a persistent vegetative state is infection, such as pneumonia. ;转运途中注意事项;思考 ;复习思考题;ZEj+Ot8XDi)Mr7WBg*Lq5UzfJo3Tyd$Hn2Rwb!Gl0PvaZEj+Ot8XDi)Mr7WBg*Lq5UzfJo3Tyd$Hm2Rwb#Gl0PuaZEj-Ot8XCi)Mr6WBg*Kq5UzeJo3Syd$Hm2Rwb#Gl0PuaZEj-Ot8XCi)Mr6WBg*Kq5UzeJo3Syd$Hm2Rwb#Gl0Pu9ZEj-Nt8XCh)Mr6VBg*Kp5Uze%Jo3Sxd$Hm1Rwb#Fl0Pu9ZEj-Nt8XCh)Mr6VBg*Kp5Uze%Jo3Sxd$Hm1Rwb#Fl0Pu9ZEj-Nt8XCh)Mr6VAg*Kp4Uze%Io3Sxc$Hm1Qwb#Fk0Pu9YEj-Ns8XC