Coma

ComaCOMA - unconsciousness caused by impaired function of the brain stem. Etiology: traumatic brain injury, stroke, infection, status epilepticus, brain tumors, exogenous intoxication, violation of systemic metabolism (diabetes, hypoglycemia, uremia, eclampsia, thyrotoxicosis), and other Crucial role in the development of coma plays a lesion of the ascending activating systems of the brain stem and interstitial brain. The symptoms for. Depending on the severity of the disturbance of the vital functions who are divided into several degrees. When mild coma patients respond to painful stimuli; reflexes saved by the mucous membrane of the nose, corneal and pupillary; sometimes retained tendon reflexes and is called the symptom Babinski. Expressed degree of coma: reaction only intense pain stimuli, impaired swallowing, however when getting food into the respiratory tract occurs reflex cough, breathing stercorosus, often by type of Cheyne-Stokes equations. Deep coma: areflexia, atony, mydriasis, gross violations of respiration and circulation. The beyond (terminal) coma: the vital functions of the patient is maintained only at the expense of mechanical ventilation and stimulation of the heart. Treatment. When establishing the nature of the coma and pathogenetic therapy. At all stages of a coma - resuscitation. The prognosis depends on the cause of the coma and the severity of the injury to the brain stem. In a deep coma, the prognosis is often poor; absolutely poor prognosis with exorbitant coma..



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