Кома. Обследование больного в коматозном состоянии © Coma

M E Д Ф И Л Ь М
M E Д Ф И Л Ь М
135.7 هزار بار بازدید - پارسال -
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Coma, examination of the patient in a coma, 13min, 1995
Koma (from other Greek: κῶμα - deep sleep) is a life-threatening condition between life and death, characterized by loss of consciousness, a sharp weakening or lack of reaction to external stimuli, fading of reflexes to their complete disappearance, violation of the depth and frequency of respiration, and a change in vascular tone, increased or slowed heart rate, violation of temperature regulation.
Coma develops as a result of deep inhibition in the cerebral cortex with its spreading to the subcortex and the underlying parts of the central nervous system due to acute circulatory disorders in the brain, head injuries, inflammation (with encephalitis, meningitis, malaria), as well as as a result of poisoning (barbiturates, carbon monoxide, etc.), with diabetes mellitus, uremia, hepatitis (uremic, hepatic coma). In this case, there are disturbances in the acid-base balance in the nervous tissue, oxygen starvation, disturbances in ion exchange and energy starvation of nerve cells. Coma is preceded by a precomatous state, during which the development of these symptoms occurs.
Treatment: eliminating the cause of the coma; measures aimed at restoring acid-base balance, eliminating collapse, restoring breathing, and fighting oxygen starvation.
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پارسال در تاریخ 1401/11/11 منتشر شده است.
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