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意識障害の原因

感染症による意識障害、代謝異常(低血糖、糖尿病性ケトアシドーシス、低Na、尿毒症など)、脳梗塞で意識障害全体の6割を占める。
出典
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1: Kim KT, Jeon JC, Jung C-G, et al. Etiologies of altered level of consciousness in the emergency room. Sci Rep, 2022; 12(1): 4972, table 2.

Glasgow Coma Scale(GCS)

英国のグラスゴー大学により発表された意識障害の分類。開眼(E)、言語(V)、運動(M)の3つに分けて記録し、3~15点の13段階の意識レベルで表し、点数が低いほうが、意識レベルが悪くなる。
出典
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1: Severe head injuries in three countries.
著者: Jennett B, Teasdale G, Galbraith S, Pickard J, Grant H, Braakman R, Avezaat C, Maas A, Minderhoud J, Vecht CJ, Heiden J, Small R, Caton W, Kurze T.
雑誌名: J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291-8. doi: 10.1136/jnnp.40.3.291.
Abstract/Text: Methods for assessing early characteristics and late outcome after severe head injury have been devised and applied to 700 cases in three countries (Scotland, Netherlands, and USA). There was a close similarity between the initial features of patients in the three series; in spite of differences on organisation of care and in details of management , the mortality was exactly the same in each country. This data bank of cases (which is still being enlarged) can be used for predicting outcome in new cases, and for setting up trials of management.
J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291-8. doi: 10.1136/jnnp...

Japan Coma Scale(JCS)

Full Outline of UnResponsiveness (FOUR) Score

GCSと比較して鎮静中や挿管の有無にかかわらず、評価が可能、評価者間相違が小さい、機能的予後不良の因子として優れるなどの特徴がある。
出典
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1: Wijdicks EFM, Bamlet WR, Maramattom BV, et al. Validation of a new coma scale: The FOUR score. Ann Neurol, 2005; 58(4): 587, Table 1.

意識障害の原因

感染症による意識障害、代謝異常(低血糖、糖尿病性ケトアシドーシス、低Na、尿毒症など)、脳梗塞で意識障害全体の6割を占める。
出典
img
1: Kim KT, Jeon JC, Jung C-G, et al. Etiologies of altered level of consciousness in the emergency room. Sci Rep, 2022; 12(1): 4972, table 2.

Glasgow Coma Scale(GCS)

英国のグラスゴー大学により発表された意識障害の分類。開眼(E)、言語(V)、運動(M)の3つに分けて記録し、3~15点の13段階の意識レベルで表し、点数が低いほうが、意識レベルが悪くなる。
出典
imgimg
1: Severe head injuries in three countries.
著者: Jennett B, Teasdale G, Galbraith S, Pickard J, Grant H, Braakman R, Avezaat C, Maas A, Minderhoud J, Vecht CJ, Heiden J, Small R, Caton W, Kurze T.
雑誌名: J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291-8. doi: 10.1136/jnnp.40.3.291.
Abstract/Text: Methods for assessing early characteristics and late outcome after severe head injury have been devised and applied to 700 cases in three countries (Scotland, Netherlands, and USA). There was a close similarity between the initial features of patients in the three series; in spite of differences on organisation of care and in details of management , the mortality was exactly the same in each country. This data bank of cases (which is still being enlarged) can be used for predicting outcome in new cases, and for setting up trials of management.
J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291-8. doi: 10.1136/jnnp...