Wednesday, January 23, 2013

Emergence of hepatic coma divide how many characteristics of every what the intersection of _ and symptom it is

Emergence of hepatic coma divide how many characteristics of every what the intersection of _ and symptom it is
To adopt more the intersection of patient and the intersection of consciousness and intensity of obstacle, go into a coma behavior, shallow to go into a coma, go into a coma such a clinical evolution by stages deeply of omen promptly at present by stages hepatic coma. This kind is simpler and more convenient by stages, help to observe development and change of the condition dynamically, help to judge in early days and treat the measure in time. Generally divide hepatic coma into 4 issues: One, is also called going into a coma in prodromal stage: There are slight personality and behavior disorder. If some patients keep silent, some's many speech multi-lingual; When calm and steady without being behaved very,appear by rash movements inmature suddenly, or whether clothing are getting more whole, or spit everywhere, do as size of place please, undress etc.; Response and answer question to be still correct, pronounce indistinctly sometimes, movement slow, etc. This does not generally have neural physical sign, or only have slight manifestation. Make patient's arms flat and stretch, the finger is separated, can present hands outside askewly, the palm refers to the joint, wrist jonint, even the elbow, shoulder joint pounce on kind and tremble, is called the liver to tremble rapid abnormality. This electroencephalogram checks the majority normally. 2 issues, are also called and gone into a coma in earlier stage: , consciousness is fuzzy, sleep disorder, behavioral disorder, in order to mainly behave psychotomimetically, become more serious more than previous symptom. Directional strength and understand ability lower, such as the intersection of name and age in personnel and where does it live in by oneself, it is some time that presents the concept fuzzily now; Can't finish simple calculation and intelligence movement, if how much does 1 ten 1 equal? Is this thing a square or rectangle? Often have unclear languages, write the obstacle, the move is abnormal to seeks the clothing and touches the bed, dances for joy; Photism, illusion that occasionally, frightened and manic, are similar to the manifestation of the general psychosis. The the intersection of patient and the intersection of nervous system and physical sign appear already, tension increase and tendon reflect hyperfunction such as skin, a bunch of evidence masculine gender of cone, electroencephalogram often present the abnormal wave form, have certain characteristic nature. 3 issues, are also called the lethargy one: With all day lethargy and as the main fact psychotomimetically seriously, pay attention to physical sign to present successively in various neuropathy, and aggravate gradually. The patient is in lethargy in most of the time in 24 hours, but the one that breathed out be able to wake up, fall asleep again several seconds later after waking up, it is extremely inaccurate to answer, illusion is clouded in mind. The liver can still draw to tremble, the skin tension increases, the passive sports of four limbs are resisted, a bunch of evidence of cone is often positive, the electroencephalogram is abnormal. 4 issues, are also called going into a coma one: The patient totally loses mind, the state that enter to go into a coma, the ones that breathed out do not answer, can't wake up. But still have the response to stimulate to pain, open one's eyes wide and stare sometimes, simple while going into a coma the knee jerk is hyperfunction, the skin tension increases. Because check the body can't cooperate, the liver can't draw or draw to tremble inaccurately. The condition continues developing, enter to go into a coma deeply. Various areflexia at this moment, the skin tension is reduced, the pupil breaks up greatly, breathe and excessively take a breath, popping convulsions, various are stimulated reactionlessly. The boundary of every one of the above is not very clear sometimes. Before and after last overlap clinical manifestation of period. Develop as condition and when process treat, take a favorable turn, can behave, upgrade or demote.
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