Saturday, January 12, 2008
The hepatic coma which occurred several hours duration each
Hepatic coma for a phased use of the current obstacles to the patient's consciousness level that is the precursor coma performance, light coma, such a deep coma clinical development phases. This relatively simple staging, dynamic observation conditions conducive to the development and changes conducive to early diagnosis and timely treatment measures. General hepatic coma will be divided into four : one, known as the prodromal phase in a coma : a minor character and behavioral abnormalities. For hundreds of patients, and others say much more than words; Between when he poise, sudden infant rash moves the whole hat or not, or spitting, and urine everywhere, undress; reaction to answer questions and was correct, but sometimes slurred speech, slow movements. This usually without neurological signs, or only minor performance. Patients arm span, separate fingers, hand to the lateral deflection, metacarpophalangeal joints, wrist, elbow and even, Shoulder rapidly emerging kind of rampant irregularities trembled, as liver quiver. This EEG normal majority. 2, also known as the pre-coma : a mental disorder, fuzzy sense, sleep disturbance, behavior disorders for the main performance, a previous symptoms. Orientation and the ability to understand both reduce, such as the names of age, where you live, What is the time now both fuzzy concept; unable to complete the simple calculation and intellectual movements, as an equivalent to a few 10? this work is a square or rectangular? often unclear language, writing obstacles, find unusual move as a loss-bed clothing, dancing; Visual hallucinations are, hallucinations, fear bipolar disorder, similar to the general mental performance. In such patients nervous system signs have emerged, such as increased muscle tone, tendon reflexes hyperthyroidism, pyramidal signs positive EEG often appear abnormal waveform, with some characteristics. 3, also known as sleeping period : sleeping all day and mainly serious mental disorder, various neuropathic signs appeared one after another. and gradually worsened. With 24 hours at most of the time sleeping, but called it a wake up, wake up after a few seconds then go to sleep replies very closed, hallucinations and confusion. Tremor still leads to the liver, increased muscle tone, limbs passive resistance movement, pyramidal signs were appearing, abnormal EEG. 4, also known as the coma stage : patients with complete loss of consciousness, coma, not manipulate, not to wake up. But the right response to pain stimulation there, sometimes staring arrogance, light coma at the knee jerk reflex hyperparathyroidism, increased muscle tone. Investigations by the body fails to match the liver quiver not led to inaccurate or leads. Conditions continue to develop, it may enter a deep coma. All this reflection disappeared, muscle tension reduction, mydriasis, breathing hyperventilation, paroxysmal convulsions, various stimulation response. Over the period of boundaries sometimes is not very clear. Before the late clinical manifestations are often overlap. When development or condition improved after treatment, the performance can be upgraded or downgraded.
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