昏迷指数简称
Ⅰ 昏迷指数4-5还有机会醒过来吗
你好,这个问题的关键是损伤的是颅脑的那个部位,一般来说是什么原因导致的昏迷的问题
Ⅱ 昏迷指数是9是什么概念
指导意见:
您好,您说的情况考虑昏迷的可能很大的,要积极治疗原发疾患才好的
Ⅲ Clasgow昏迷指数测定法从哪三个方面进行评定
睁眼:能自行睁眼 3分
呼之睁眼 2分
刺痛睁眼 1分
语言:能对答,定位准确 5分
能对答,定位有误 4分
能说话,不能对答 3分
仅能发音,不能说话 2分
不能发音 1分
运动:能完成吩咐的任务 6分
手能指向刺痛部位 5分
刺痛时,四肢回缩 4分
刺痛时,双上肢过度屈曲 3分
刺痛时,四肢过度伸展 2分
刺痛时,四肢松弛,无反应 1分
12-15轻度 8-12 中度 3-8中度昏迷
Ⅳ 昏迷指数分为6分是什么概念
一般常听到的昏迷指数指的就是「格拉斯哥昏迷指数」(Glasgow coma scale, 简写成GCS),是由Dr. Jennett于1974年于Glasgow这个地方提出的,起初是为了评估头部外伤病人的状态及预后而定的,之后则被广泛的运用於任何有意识变化的病患,例如:头部外伤、脑血管障碍(脑中风)…等。以往在描述意识状态的时候可能会用昏迷、半昏迷、痴呆…等词来形容,不过不同的人用词的定义不同,往往会造成沟通的困难,使用昏迷指数的好处在於用「分数」作为意识状态的判定,使每位医护人员看到分数后可以客观的大概了解病患的昏迷程度,并可作后续的追踪和评估。
昏迷指数是以「最佳运动反应」、「发声反应」和「睁开眼睛」三项指标来评估。
●最佳运动反应 -------------分数
听从命令----------------6
对疼痛刺激处会「用手拨除」-------5
对疼痛有「上下肢收缩性运动」------4
对疼痛反射性上肢屈曲、下肢伸展性运动--3
对疼痛反射性上下肢皆为伸展性运动----2
对疼痛全无反应-------------1
●发声反应
有条理的谈话--------------5
谈话语无伦次,答非所问---------4
只能说一些不适当的单字、词-------3
只能发出无法分辨的声音---------2
无发声反应---------------1
●睁开眼睛
自发性张开眼睛-------------4
听到声音刺激张开眼睛----------3
对疼痛刺激才张开眼睛----------2
无张眼反应---------------1
把三项指标的分数加起来得到的总分,就是所谓的「昏迷指数」,可以做为预后的参考。就头部外伤为例,一开始为3或4分的病患,统计起来有85%的机会会死亡或成为植物人;但若超过11分的病患,大概只有5~10%的机率会如此,而有85%的机会可以部份或全部恢复;其余介於中间分数的恢复机率就随著分数愈低而递减。
Ⅳ gcs评分的简介
GCS评分,指的是格拉斯哥昏迷指数的评估,其中有睁眼反应、语言反应和肢体运动三个方面。其三个方面的分数加总即为昏迷指数。
昏迷指数,是医学上评估病人昏迷程度的指标,现今用的最广的是格拉斯哥昏迷指数(GCS, Glasgow Coma Scale)。此指数是由格拉斯哥大学的两位神经外科教授Graham Teasdale与Bryan J. Jennett在1974年所发表。
(5)昏迷指数简称扩展阅读:
相关标准
1、语言反应
5分:说话有条理(oriented)。
4分:可应答,但有答非所问的情形(confused)。
3分:可说出单字(inappropriate words)。
2分:可发出声音(unintelligible sounds)。
1分:无任何反应(none)。
T分:插管或气切无法正常发声
2、肢体运动
6分:可依指令动作(obey commands)。
5分:施以刺激时,可定位出疼痛位置(localize)。
4分:对疼痛刺激有反应,肢体会回缩(withdrawal)。
3分:对疼痛刺激有反应,肢体会弯曲(decorticate flexion)。
2分:对疼痛刺激有反应,肢体会伸直(decerebrate extension)。
1分:无任何反应(no response)。
Ⅵ 请教大脑昏迷与植物人评定测试等级,格拉斯格昏迷测试评定(非专业人士勿扰)
昏迷指数,是医学上评估病人昏迷程度的指标,现今用的最广的是格拉斯哥昏迷指数(GCS, Glasgow Coma Scale)。此指数是由格拉斯哥大学的两位神经外科教授Graham Teasdale与Bryan J. Jennett在1974年所发表。
评估方法
格拉斯哥昏迷指数的评估有三个方面,三个方面的分数加总即为昏迷指数。记述以E、V、M三方面:
[编辑]睁眼反应(E, Eye opening)
4分:自然睁眼(spontaneous)
3分:呼唤会睁眼(to speech)
2分:有刺激或痛楚会睁眼(to pain)
1分:对於刺激无反应(none)
[编辑]说话反应(V, Verbal response)
5分:说话有条理(oriented)。
4分:可应答,但有答非所问的情形(confused)。
3分:可说出单字(inappropriate words)。
2分:可发出声音(unintelligible sounds)。
1分:无任何反应(none)。
[编辑]运动反应(M, Motor response)
6分:可依指令动作(obey commands)。
5分:施以刺激时,可定位出疼痛位置(localize)。
4分:对疼痛刺激有反应,肢体会回缩(withdrawal)。
3分:对疼痛刺激有反应,肢体会弯曲(decorticate flexion)。
2分:对疼痛刺激有反应,肢体会伸直(decerebrate extension)。
1分:无任何反应(no response)。
[编辑]昏迷程度
昏迷程度以E、V、M三者分数加总来评估,正常人的昏迷指数是满分15分,昏迷程度越重者的昏迷指数越低分。
轻度昏迷: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是什么
1.GCS型低压抽出式开关柜是两部联合设计组根据行业主管部门、广大电力用户及设计单位的要求设计研制出的低压抽出式开关柜
2.gcs评分 格拉斯哥昏迷评分(GCS):
3.GCS系统 家装销售软件
4.GCS是GC记忆卡的软件
Ⅷ 昏迷指数的评估方法
格拉斯哥昏迷指数的评估有三个方面,三个方面的分数加总即为昏迷指数。记述以E、V、M三方面: 6分:可依指令做出各种动作(obey commands)。 5分:施以刺激时,可定位出疼痛位置(localize)。 4分:对疼痛刺激有反应,肢体会闪避(withdrawal)。 3分:对疼痛刺激有反应,肢体会弯曲,试图回避(decorticate flexion)。 2分:对疼痛刺激有反应,肢体反而会伸展开(decerebrate extension)。 1分:无任何反应(no response)。
Ⅸ 什么是昏迷指数
大家常常在新闻里听到某人受伤后昏迷指数是几分,到底昏迷指数是怎麼算的?它的功用又是什麼?
一般常听到的昏迷指数指的就是「格拉斯哥昏迷指数」,是由一位医生於1974年在格拉斯哥(Glasgow)这个地方提出的,一般正常人昏迷指数是15,若是7以下叫深度昏迷,若是3到5,经插气管急救后,还不提高就有可能成为植物人,昏迷指数最低就是3,不可能再低。
昏迷指数是以「最佳运动反应」、「发声反应」和「睁开眼睛」三项指标来评估。
把三项指标的分数加起来得到的总分,就是所谓的「昏迷指数」。就头部外伤为例,一开始为3或4分的病患,统计起来有85%的机会会死亡或成为植物人;但若超过11分的病患,大概只有5~10%的机率会成为植物人,而有85%的机会可以部份或全部恢复;其余介於中间分数的恢复机率就随著分数愈低而递减。