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Management of autonomic dysfunction in severe tetanus: the importance of deep analgosedation.

机译:严重破伤风的自主神经功能紊乱的处理:深部止痛的重要性。

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摘要

Although the number of cases of tetanus in the developed world Is ]ow, the mortality ranges between 20% and 50% . Even today, treatment of tetanus in developed countries is essentially symptomatic, and management regimes have not markedly reduced mortality. As modern intensive care prevents death from acute respiratory failure, autonomic instability becomes the most life-threatening complication [1, 2], Because of the rarity of the disease in countries with available intensive care treatment, management regimes for the effective control of critical autonomic instability are not standardised and rely mainly on instructive case reports and personal communications.
机译:尽管发达国家的破伤风病例数很低,但死亡率在20%至50%之间。即使到了今天,发达国家对破伤风的治疗基本上还是有症状的,而且管理制度并未显着降低死亡率。由于现代重症监护可以防止因急性呼吸衰竭而导致的死亡,因此,自主神经的不稳定成为最致命的并发症[1、2]。由于在提供重症监护治疗的国家中,这种疾病的罕见性,有效控制关键自主神经的管理制度不稳定不是标准化的,主要取决于指导性的案例报告和个人通讯。

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