ACUTE POSTGIPOKSICHESKY ENCEPHALOPATHY

ACUTE POSTGIPOKSICHESKY ENCEPHALOPATHY
Clinic. Acute oxygen insufficiency depending on degree of a hypoxia of a brain can cause various disturbances of function of the central nervous system - from easy postgipoksi-cheskoj asthenias to a coma. At fast development of an acute hypoxia of a brain through 2-3 mines there can already come a coma, depth and which consequences depend on degree and prevalence of disturbance of function of a brain.
The most serious degree of a coma (terminal coma) ultram 100mg is caused by oppression of functions of all departments of a brain. It is clinically shown by a total hypomyotonia and an areflexia, disorder of breath and absence of electric activity of a brain. Warm and automatic activity of other organs remain at the expense of peripheric vegetative regulation.
At conservation of functions of caudal departments of a cerebral trunk against a hypomyotonia and an areflexia dermal and reflexes spontaneous breath (sometimes arrhythmic) is kept and corneal reflexes («a flaccid coma») cause. Tonic cramps, starts, a hyperthermia, and other vegetative disorders specify fluctuations of arterial pressure in disturbance of function of mezentse-falyju-diencephalic structures (a "hyperactive" coma). The subcortical coma is characterised by a decortication syndrome: reflexes of oral automatism, suhozhilno-nadkostnichnye reflexes high are expressed, cause pathological and reflexes. Extrapyramidal hyperkinesias of type choreic, miokloni-cheskih starts become perceptible. On ЭЭГ diffusive slow waves.
The stated signs of comas can be observed, though and not in full, at rendering assistance to the victim and at its exit from a deep asphyxia.
The further restoration of functions of a cortex of a brain is accompanied by various degree of disorder of consciousness from soporous to a somnolence. In case of a sopor patients react to painful external borings. At a condition they can answer questions, again plunging in a drowsy condition. After consciousness restoration the expressed dysmnesias, speeches, праксиса, symptoms of disturbance of function of a cerebellum, and extrapyramidal systems are taped. The specified signs of a diffusive lesion of a brain also define a syndrome acute encephalopathies. As the consequence of an acute hypoxia of a brain can be generated a syndrome asthenias.
Rendering assistance. In connection with a respiratory depression and disorder of activity of cardiovascular system of 0,5-1 ml intramusculary or intravenously, Corazolum of 10 % of a solution of 1 ml, analep-ticheskaja an admixture on 1-2 ml intramusculary or intravenously in an isotonic vpxl 200mg solution of sodium of Sodium chloridum or 5 % a glucose solution are shown Cytitonum. Oxygen or Carbogenum inhalation Is recommended. Patients are subject to hospitalisation in resuscitation unit. At serious forms гипоксической the encephalopathy accepts hyperbaric oxygenation.