昏迷及意识障碍 第三版
Coma and Disorders of Consciousness, 3e is a fully revised new edition offering a comprehensive review of the field for clinicians and researchers in the field of disorders of consciousness. Caring for patients with disorders of consciousness (DOC) such as unresponsive wakefulness syndrome (vegetative state) or minimally conscious state and related conditions such as locked-in syndrome currently represent a financial, medical and ethical conundrum. Although severe brain injuries represent a fraction of the population with brain injury, their cost is enormous (around $4 billion in direct medical costs per year), mostly due to the long-term care they need. The impressive number of studies performed on disorders of consciousness in the last decade has allowed refining diagnosis criteria, acquiring a better understanding of prognosis, and developing new tools to care and treat this challenging population. In this context, recently published milestone papers have provided new guidelines to clinicians for managing patients with DOC. This should lead to a shift in mentality and in the way we care for these patients. This book brings together researchers and clinicians to write about recent and future changes that will altogether improve the outcome of patients with DOC.
《昏迷和意识障碍,第3版》是一本全面修订的新版本,旨在为神经意识障碍领域的临床医生和研究人员提供一个综合性的领域回顾。 目前,对处于意识障碍(DOC)状态的患者进行照护,如无反应性清醒综合征(植物人状态)或最小意识状态以及与其相关的状况如完全锁定综合征等患者的照顾,代表着一种经济、医疗和伦理上的难题。虽然严重脑损伤只占整个脑损伤人口的一小部分,但其成本却十分巨大(每年大约40亿美元的直接医疗费用),主要原因是他们需要长期护理。近年来在神经意识障碍领域的大量研究已经使得诊断标准得以精炼、预后理解得到改善,并开发出新的工具来照顾和治疗这一挑战性的人群。在此背景下,最近发表的重要论文已为临床医生提供了管理DOC患者的新的指导方针。这应该会导致心态转变以及我们对这些患者照护方式的变化。 这本书将研究者与临床医生聚集在一起,共同撰写关于神经意识障碍领域最近变化及未来变化的综述,旨在总体上改善DOC患者的结果。
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