昏迷指數簡稱
Ⅰ 昏迷指數4-5還有機會醒過來嗎
你好,這個問題的關鍵是損傷的是顱腦的那個部位,一般來說是什麼原因導致的昏迷的問題
Ⅱ 昏迷指數是9是什麼概念
指導意見:
您好,您說的情況考慮昏迷的可能很大的,要積極治療原發疾患才好的
Ⅲ Clasgow昏迷指數測定法從哪三個方面進行評定
睜眼:能自行睜眼 3分
呼之睜眼 2分
刺痛睜眼 1分
語言:能對答,定位準確 5分
能對答,定位有誤 4分
能說話,不能對答 3分
僅能發音,不能說話 2分
不能發音 1分
運動:能完成吩咐的任務 6分
手能指向刺痛部位 5分
刺痛時,四肢回縮 4分
刺痛時,雙上肢過度屈曲 3分
刺痛時,四肢過度伸展 2分
刺痛時,四肢鬆弛,無反應 1分
12-15輕度 8-12 中度 3-8中度昏迷
Ⅳ 昏迷指數分為6分是什麼概念
一般常聽到的昏迷指數指的就是「格拉斯哥昏迷指數」(Glasgow coma scale, 簡寫成GCS),是由Dr. Jennett於1974年於Glasgow這個地方提出的,起初是為了評估頭部外傷病人的狀態及預後而定的,之後則被廣泛的運用於任何有意識變化的病患,例如:頭部外傷、腦血管障礙(腦中風)…等。以往在描述意識狀態的時候可能會用昏迷、半昏迷、痴呆…等詞來形容,不過不同的人用詞的定義不同,往往會造成溝通的困難,使用昏迷指數的好處在於用「分數」作為意識狀態的判定,使每位醫護人員看到分數後可以客觀的大概了解病患的昏迷程度,並可作後續的追蹤和評估。
昏迷指數是以「最佳運動反應」、「發聲反應」和「睜開眼睛」三項指標來評估。
●最佳運動反應 -------------分數
聽從命令----------------6
對疼痛刺激處會「用手撥除」-------5
對疼痛有「上下肢收縮性運動」------4
對疼痛反射性上肢屈曲、下肢伸展性運動--3
對疼痛反射性上下肢皆為伸展性運動----2
對疼痛全無反應-------------1
●發聲反應
有條理的談話--------------5
談話語無倫次,答非所問---------4
只能說一些不適當的單字、詞-------3
只能發出無法分辨的聲音---------2
無發聲反應---------------1
●睜開眼睛
自發性張開眼睛-------------4
聽到聲音刺激張開眼睛----------3
對疼痛刺激才張開眼睛----------2
無張眼反應---------------1
把三項指標的分數加起來得到的總分,就是所謂的「昏迷指數」,可以做為預後的參考。就頭部外傷為例,一開始為3或4分的病患,統計起來有85%的機會會死亡或成為植物人;但若超過11分的病患,大概只有5~10%的機率會如此,而有85%的機會可以部份或全部恢復;其餘介於中間分數的恢復機率就隨著分數愈低而遞減。
Ⅳ gcs評分的簡介
GCS評分,指的是格拉斯哥昏迷指數的評估,其中有睜眼反應、語言反應和肢體運動三個方面。其三個方面的分數加總即為昏迷指數。
昏迷指數,是醫學上評估病人昏迷程度的指標,現今用的最廣的是格拉斯哥昏迷指數(GCS, Glasgow Coma Scale)。此指數是由格拉斯哥大學的兩位神經外科教授Graham Teasdale與Bryan J. Jennett在1974年所發表。
(5)昏迷指數簡稱擴展閱讀:
相關標准
1、語言反應
5分:說話有條理(oriented)。
4分:可應答,但有答非所問的情形(confused)。
3分:可說出單字(inappropriate words)。
2分:可發出聲音(unintelligible sounds)。
1分:無任何反應(none)。
T分:插管或氣切無法正常發聲
2、肢體運動
6分:可依指令動作(obey commands)。
5分:施以刺激時,可定位出疼痛位置(localize)。
4分:對疼痛刺激有反應,肢體會回縮(withdrawal)。
3分:對疼痛刺激有反應,肢體會彎曲(decorticate flexion)。
2分:對疼痛刺激有反應,肢體會伸直(decerebrate extension)。
1分:無任何反應(no response)。
Ⅵ 請教大腦昏迷與植物人評定測試等級,格拉斯格昏迷測試評定(非專業人士勿擾)
昏迷指數,是醫學上評估病人昏迷程度的指標,現今用的最廣的是格拉斯哥昏迷指數(GCS, Glasgow Coma Scale)。此指數是由格拉斯哥大學的兩位神經外科教授Graham Teasdale與Bryan J. Jennett在1974年所發表。
評估方法
格拉斯哥昏迷指數的評估有三個方面,三個方面的分數加總即為昏迷指數。記述以E、V、M三方面:
[編輯]睜眼反應(E, Eye opening)
4分:自然睜眼(spontaneous)
3分:呼喚會睜眼(to speech)
2分:有刺激或痛楚會睜眼(to pain)
1分:對於刺激無反應(none)
[編輯]說話反應(V, Verbal response)
5分:說話有條理(oriented)。
4分:可應答,但有答非所問的情形(confused)。
3分:可說出單字(inappropriate words)。
2分:可發出聲音(unintelligible sounds)。
1分:無任何反應(none)。
[編輯]運動反應(M, Motor response)
6分:可依指令動作(obey commands)。
5分:施以刺激時,可定位出疼痛位置(localize)。
4分:對疼痛刺激有反應,肢體會回縮(withdrawal)。
3分:對疼痛刺激有反應,肢體會彎曲(decorticate flexion)。
2分:對疼痛刺激有反應,肢體會伸直(decerebrate extension)。
1分:無任何反應(no response)。
[編輯]昏迷程度
昏迷程度以E、V、M三者分數加總來評估,正常人的昏迷指數是滿分15分,昏迷程度越重者的昏迷指數越低分。
輕度昏迷:13分到14分。
中度昏迷:9分到12分。
重度昏迷:3分到8分。
he Glasgow Coma Scale or GCS, sometimes also known as the Glasgow Coma Score is a neurological scale which aims to give a reliable, objective way of recording the conscious state of a person, for initial as well as continuing assessment. A patient is assessed against the criteria of the scale, and the resulting points give a patient score between 3 (indicating deep unconsciousness) and either 14 (original scale) or 15 (the more widely used modified or revised scale).
GCS was initially used to assess level of consciousness after head injury, and the scale is now used by first aid, EMS and doctors as being applicable to all acute medical and trauma patients. In hospital it is also used in chronic patient monitoring, in for instance, intensive care.
The scale was published in 1974 by Graham Teasdale and Bryan J. Jennett, professors of neurosurgery at the University of Glasgow. The pair went on to author the textbook Management of Head Injuries (FA Davis 1981, ISBN 0-8036-5019-1), a celebrated work in the field.
GCS is used as part of several ICU scoring systems, including APACHE II, SAPS II, and SOFA, to assess the status of the central nervous system. A similar scale, the Rancho Los Amigos Scale is used to assess the recovery of traumatic brain injury patients.
Elements of the scale
Glasgow Coma Scale
1 2 3 4 5 6
Eyes Does not open eyes Opens eyes in response to painful stimuli Opens eyes in response to voice Opens eyes spontaneously N/A N/A
Verbal Makes no sounds Incomprehensible sounds Utters inappropriate words Confused, disoriented Oriented, converses normally N/A
Motor Makes no movements Extension to painful stimuli Abnormal flexion to painful stimuli Flexion / Withdrawal to painful stimuli Localizes painful stimuli Obeys Commands
The scale comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible GCS (the sum) is 3 (deep coma or death), while the highest is 15 (fully awake person).
[edit]Best eye response (E)
There are 4 grades starting with the most severe:
No eye opening
Eye opening in response to pain. (Patient responds to pressure on the patient』s fingernail bed; if this does not elicit a response, supraorbital and sternal pressure or rub may be used.)
Eye opening to speech. (Not to be confused with an awaking of a sleeping person; such patients receive a score of 4, not 3.)
Eyes opening spontaneously
[edit]Best verbal response (V)
There are 5 grades starting with the most severe:
No verbal response
Incomprehensible sounds. (Moaning but no words.)
Inappropriate words. (Random or exclamatory articulated speech, but no conversational exchange)
Confused. (The patient responds to questions coherently but there is some disorientation and confusion.)
Oriented. (Patient responds coherently and appropriately to questions such as the patient』s name and age, where they are and why, the year, month, etc.)
[edit]Best motor response (M)
There are 6 grades starting with the most severe:
No motor response
Extension to pain (adction of arm, internal rotation of shoulder, pronation of forearm, extension of wrist, decerebrate response)
Abnormal flexion to pain (adction of arm, internal rotation of shoulder, pronation of forearm, flexion of wrist, decorticate response)
Flexion/Withdrawal to pain (flexion of elbow, supination of forearm, flexion of wrist when supra-orbital pressure applied ; pulls part of body away when nailbed pinched)
Localizes to pain. (Purposeful movements towards painful stimuli; e.g., hand crosses mid-line and gets above clavicle when supra-orbital pressure applied.)
Obeys commands. (The patient does simple things as asked.)
[edit]Interpretation
Indivial elements as well as the sum of the score are important. Hence, the score is expressed in the form "GCS 9 = E2 V4 M3 at 07:35".
Generally, comas are classified as:
Severe, with GCS ≤ 8
Moderate, GCS 9 - 12
Minor, GCS ≥ 13.
Intubation and severe facial/eye swelling or damage, make it impossible to test the verbal and eye responses. In these circumstances, the score is given as 1 with a modifier attached e.g. 'E1c' where 'c' = closed, or 'V1t' where t = tube. A composite might be 'GCS 5tc'. This would mean, for example, eyes closed because of swelling = 1, intubated = 1, leaving a motor score of 3 for 'abnormal flexion'.
The GCS has limited applicability to children, especially below the age of 36 months (where the verbal performance of even a healthy child would be expected to be poor). Consequently the Paediatric Glasgow Coma Scale, a separate yet closely related scale, was developed for assessing younger children.
[edit]Revisions
Glasgow Coma Scale: While the 15 point scale is the predominant one in use, this is in fact a modification and is more correctly referred to as the Modified Glasgow Coma Scale. The original scale was a 14 point scale, omitting the category of 'abnormal flexion'. Some centres still use this older scale, but most (including the Glasgow unit where the original work was done) have adopted the modified one.
The Rappaport Coma/Near Coma Scale made other changes.
Ⅶ GCS是什麼
1.GCS型低壓抽出式開關櫃是兩部聯合設計組根據行業主管部門、廣大電力用戶及設計單位的要求設計研製出的低壓抽出式開關櫃
2.gcs評分 格拉斯哥昏迷評分(GCS):
3.GCS系統 家裝銷售軟體
4.GCS是GC記憶卡的軟體
Ⅷ 昏迷指數的評估方法
格拉斯哥昏迷指數的評估有三個方面,三個方面的分數加總即為昏迷指數。記述以E、V、M三方面: 6分:可依指令做出各種動作(obey commands)。 5分:施以刺激時,可定位出疼痛位置(localize)。 4分:對疼痛刺激有反應,肢體會閃避(withdrawal)。 3分:對疼痛刺激有反應,肢體會彎曲,試圖迴避(decorticate flexion)。 2分:對疼痛刺激有反應,肢體反而會伸展開(decerebrate extension)。 1分:無任何反應(no response)。
Ⅸ 什麼是昏迷指數
大家常常在新聞里聽到某人受傷後昏迷指數是幾分,到底昏迷指數是怎麼算的?它的功用又是什麼?
一般常聽到的昏迷指數指的就是「格拉斯哥昏迷指數」,是由一位醫生於1974年在格拉斯哥(Glasgow)這個地方提出的,一般正常人昏迷指數是15,若是7以下叫深度昏迷,若是3到5,經插氣管急救後,還不提高就有可能成為植物人,昏迷指數最低就是3,不可能再低。
昏迷指數是以「最佳運動反應」、「發聲反應」和「睜開眼睛」三項指標來評估。
把三項指標的分數加起來得到的總分,就是所謂的「昏迷指數」。就頭部外傷為例,一開始為3或4分的病患,統計起來有85%的機會會死亡或成為植物人;但若超過11分的病患,大概只有5~10%的機率會成為植物人,而有85%的機會可以部份或全部恢復;其餘介於中間分數的恢復機率就隨著分數愈低而遞減。