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首页> 外文期刊>The Lancet >Deep coma and diffuse white matter abnormalities caused by sepsis-associated encephalopathy
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Deep coma and diffuse white matter abnormalities caused by sepsis-associated encephalopathy

机译:败血症相关性脑病引起的深昏迷和弥漫性白质异常

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In January, 2012, a 53-year-old woman with a history of progressive polyposis coli and hypertension was admitted to the intensive care unit (ICU) of our hospital because of septic shock 4 days after laparoscopic subtotal colectomy. She was intubated and mechanically ventilated, underwent emergent re-laparotomy for anastomotic leakage, and was treated with antibiotics. Blood cultures were positive for multiresistant Enterococcus faecium. After re-laparotomy the patient was sedated with midazolam for 2 days. The neurologist was consulted on the fourth postoperative day because of the patient's persistent low level of consciousness. On neurological examination, we found no eye opening or motor response to a painful stimulus, intact brainstem reflexes, and generalised areflexia of arms and legs with indifferent plantar reflexes.
机译:2012年1月,一名53岁的有进行性息肉病和高血压病史的妇女因腹腔镜大肠切除术4天后的败血性休克被送入我院的重症监护病房。对她进行了插管和机械通气,进行了再次开腹手术以吻合口漏,并接受了抗生素治疗。血培养对多耐药肠球菌呈阳性。再次开腹手术后,将患者用咪达唑仑镇静2天。由于患者持续的意识水平低下,因此在术后第四天咨询了神经科医生。在神经系统检查中,我们未发现因疼痛刺激,完整的脑干反射以及没有足底反射而引起的全身性臂弯反射的睁眼或运动反应。

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