昏迷Plum分类（Classification of coma Plum）.docVIP

昏迷Plum分类（Classification of coma Plum） Classification of coma Plum The pathological changes caused by Plum are likely to have three conditions, such as the screen, the lesion and the cerebral cortex metabolism disorder. (1) the lesion on the screen There is no consciousness disorder or coma in the hemispheres of hemispheres, and both hemispheres are widely ill and developing rapidly can cause varying degrees of consciousness disorder or coma. If the disease is widespread but the disease develops slowly, the symmetry of the two hemispheres atrophy, and the clinical manifestations are not only psychiatric symptoms but also unconscious obstacles. If one side of the cerebral hemisphere is removed, there is no conscious disturbance, but acute cerebral hemispheres, especially in the dominant hemisphere, such as cerebral hemorrhage, can cause different levels of consciousness disorder. The cerebral hemispheric lesions can lead to an awning hernia, which can result in a coma if the ascending reticular activation system can be suppressed or blocked. All in all, only the hemispheres disease widely and developed rapidly, or on one side of the brain hemispheres space-occupying lesions grow down to the awning incisure herniation shift extrusion nonspecific upward projection system can occur consciousness or coma. (2) the lesion under the curtain The lesion lesion or damage to the brain stem reticular structure nonspecific ascending projection system can produce severe Plum heavy consciousness - coma. (3) cerebral cortex diffuse STD The slow-moving bilateral cerebral hemispheres diffuse STD, and the arousal activation system is undisturbed, so it does not occur in coma, such as A1zhemer disease. But bilateral cerebral hemisphere of acute and serious loss of diffuse disease, the cerebral cortex, the cortex is reticular activating system, thalamus, nonspecific projection system is damaged, can lead to loss of consciousness content, awakening and coma. In addition, acute cerebral dif