Cause of coma!

Dizziness is a severe brain dysfunction that is commonly manifested as loss of consciousness and dysfunctional disorders such as movement, sensation, and reflexes

Common manifestations: There are depths and shades according to degree:

1. Shallow coma is also called semi-coma, the patient has no random movement, is in a passive position, does not respond to peripheral things and sounds, breathing, pulse and blood pressure are generally normal, and the size can be retained or incontinent.

2. Deep coma patients with loose muscles, no response to various stimuli, irregular breathing, blood pressure can also drop, fecal incontinence, occasional retention, at this time the body can only maintain the most basic life

3. Companion state

(1) Patients with fever are seen in infectious diseases: in winter, it is seen in cerebral flow and pneumonia; In summer and autumn, it is seen in Japanese encephalitis, toxic bacterial dysentery, cerebral malaria or heat stroke; Patients without fever and cold skin are seen in organophosphate poisoning, barbiturates poisoning, shock, and hypoglycemia

Coma, etc.

(2) Patients with respiratory slowing can be seen in organophosphorus, barbiturates, and opioid poisoning; Deep breathing is seen in uremia or diabetic acidosis.

(3) Patients with meningeal irritation are mostly central nervous system infections, which are seen in various encephalitis, meningitis, and subarachnoid space

【Treatment】

1. Strengthen clinical monitoring of comatose patients often have rapid changes in vital signs, so it is necessary to observe the condition day and night, such as body temperature, pulse, breathing, blood pressure, pupils, consciousness and electrocardiogram, arterial blood gas, electrolytes, etc., high-quality nursing, to prevent the occurrence of pressure sores, pneumonia and urinary tract infections, etc., to do a good job of high fever, convulsions, oral and eye care.

2. Cause treatment for the cause of timely and decisive measures is the key to the success of rescuing comatose patients, complications and treatment can not be ignored, the application of cell metabolism drugs and after the condition is stabilized, the appropriate application of awakening agents, to improve the function of the brain and reduce sequelae is of great significance. Such as hypoglycemic coma, that is, intravenous injection of 50% glucose solution.

3. Keep the exhalation tract unobstructed, the patient should take the side of the head low, adequate oxygen supply, catheter suction, if necessary, endotracheal intubation or tracheostomy, mechanical assisted breathing, while detecting arterial blood gas, as appropriate, the use of respiratory stimulants, commonly used lobeline, nicosammi and so on.