常见急症（Common emergencies）.docVIP

常见急症（Common emergencies） 1. what is an emergency? Its an acute disease that requires immediate attention, some of which are life-threatening emergencies. 2. consciousness disorders Consciousness refers to peoples perception of the objective environment and themselves, and makes a meaningful response to the stimulation of the internal and external environment. The decline or disappearance of this response will lead to different levels of consciousness disorder. Coma is a serious disturbance of consciousness, which is completely lost in voluntary movement and sensation, but the vital signs T, P, BP and R remain. 3., determine the extent of consciousness disorders Somnolent: continuous sleep state can be sound, pain or light to wake up, wake up to answer the question, but the slow reaction, the removal of a stimulus again to sleep. Fuzzy sense: the patient of time, place, person orientation ability disorder, confusion, language coherence, response error, delusions, hallucinations, agitation, confusion, delirium. Coma: a patient who is asleep and can only be awakened by pressing the eye socket and shaking it vigorously. The stimulus stopped and immediately fell asleep. Its difficult to answer questions. Coma: loss of consciousness, no response to any stimulus. Vital signs often change 4. observation of vital signs Higher body temperature suggests an infectious disease. Excessive heat stroke, brain stem damage. Excessive shock, frostbite, or sedative overdose. Pulse: tachycardia may be shock, heart failure, high fever, or hyperthyroidism crisis. Bradycardia leads to increased intracranial pressure or myocardial infarction and obstruction. Respiration: it is found rapidly in diabetic acidosis. It is found rapidly in shock, heart lung disease or sleeping pill poisoning. Hypertension: high intracranial pressure, hypertensive encephalopathy. Too low for burns, dehydration, shock, and myocardial infarction The smell of alcohol: alcohol poisoning. Hepatic coma. Diabetes; acido