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Intensivmedizin up2date 2016; 12(04): 407-424
DOI: 10.1055/s-0042-110819
DOI: 10.1055/s-0042-110819
Pädiatrische Intensivmedizin
Akute Bewusstseinsstörung im Kindesalter
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
11. November 2016 (online)
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An erster Stelle bei der Versorgung von Kindern und Jugendlichen mit einer Bewusstseinsstörung stehen die ABC-Richtlinien.
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Die häufigsten Krankheitsbilder sind Infektionen, Intoxikationen, epileptische Anfälle und Stoffwechselentgleisungen, bei Letzteren v. a. diabetische Ketoazidose und Hypoglykämie.
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Der Quantifizierung der Bewusstseinsstörung dient die Glasgow Coma Scale oder alternativ die AVPU-Skala.
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Wichtige anamnestische Daten und ein Kurzbefund (meningitische Zeichen, Asymmetrien der Motorik und/oder Pupillen, Hirndruckzeichen, Körpertemperatur) vervollständigen die Notfalldiagnostik.
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Literatur
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