Please enable JavaScript.

Coggle requires JavaScript to display documents.

NE-Consciousness Exam (Clinical Tests in Comatose Patients (Respiratory…

- - - - CO / WS：Cold water for Opposite side / Warm water for Same side
      - CN VIII for Sensory / EOM for Motor
    - - 正常為陽性，表示腦幹無受損
      - 通常用於重症患者，用以檢測其腦幹是否有受傷
  - - - Blink-Corneal Reflex
        
        具有侵犯性，正常人不太需要做
        
        CN V for Sensory / CN VII for Motor
      - Pain Stimulation Over Face
        
        會收縮表示從CN V → CN VII的路徑正常
    - - Oculocephalic Reflex (Doll Eye Sign)
        
        有此sign者，表示中橋腦部為為正常的
    - - Pupillary Light Reflex
        
        需檢測direct / indirect
        
        CN II for Sensory / CN III for Motor
    - - Cough Reflex
        
        CN IX for Sensory / CN X for Motor
      - Swallowing Reflex
      - Gag Reflex
        
        CN IX for Sensory / CN X for Motor
      - Respiration
  - - - 1-5分：Nil / Incomprehensible / Inappropriate Word / Confused / Oriented
    - - 1-4分：Nil / To Pain / To Speech / Spontaneous
    - - 1-6分：Nil / Extensor Response / Abnormal Flexion / Withdrawal / Localize / Obey
      - 檢查方式
        
        Noxious Stimulus：supraorbital pressure / Nail Bed Pressure / Sternum Pressure
        
        M2的判斷：Decerebrate Posturing--手腳街伸直、肩膀內收(adduction & internal rotation)
        
        M3的判斷：Decorticate Posturing--手往內摳住胸口、腳伸直、肩膀內收
- - - - 昏迷指數 ≦ 5，且昏迷原因已確定
      - 遭受無法復原的腦部結構損壞，且必須仰賴人工呼吸器來維持呼吸
    - - 至少需要觀察72小時
      - 觀察其末期：使用人工呼吸器、昏迷指數為3、無自發性運動、去皮質或去大腦的異常身體姿勢及癲險性抽搐
    - - 無頭眼反射、瞳孔對光反射、眼角膜反射、前庭動眼反射、對疼痛刺激無法引起運動、抽痰時無咳嗽反射
    - - 因藥物中毒、代謝障礙、低體溫(低於35℃)等導致的昏迷，需等72小時候再判斷
      - 不明原因的昏迷