单词 | persistent vegetative state |
释义 | persistent vegetative statepersistent vegetative statepersistent vegetative statepersistent vegetative state:see under comacoma,in medicine, deep state of unconsciousness from which a person cannot be aroused even by painful stimuli. The patient cannot speak and does not respond to command. ..... Click the link for more information. , in medicine. persistent vegetative statepersistent vegetative statestate[stāt]persistent vegetative state (PVS),See also: vegetative. persistent vegetative stateChoice in dying A condition caused by injury, disease or illness in which a Pt has suffered a loss of consciousness, with no behavioral evidence of awareness of self or surroundings in a learned manner, other than reflex activity of muscles and nerves for low level conditioned response, and from which to a reasonable degree of medical probability, there can be no recovery; PVS is characterized by a prolonged loss of upper cortical function that may follow acute–eg, infections, toxins, trauma, or vascular events, or chronic–eg, degenerative events; in PVS, Pt is bed-ridden, nutritional support is completely passive, either parenteral or by NG tube; PVS Pts do not require respiratory support or circulatory assistance for survival and are in a state of chronic wakefulness which may be accompanied by spontaneous eye opening, grunts or screams, brief smiles, sporadic movement of facial muscles and limbs; while the eyes blink upon stimulation, they do not do so in response to visual threats; some Pts chew or clamp their teeth; urinary and fecal incontinence is universal; recovery occurs within the 1st month–if at all, recovery is rare beyond the 3rd month. See Advanced directives, DNR, Harvard criteria, Living will, Quinlan. Cf Procurement.per·sis·tent ve·ge·ta·tive state(PVS) (pĕr-sis'tĕnt vej'ĕ-tā-tiv stāt)See also: vegetative persistent vegetative stateA condition caused by diffuse lesions of the thalami, the cortical neurons or of the white matter tracts that connect them. The disorder has proved difficult to define because of uncertainties as to the real meaning of ‘consciousness’, ‘awareness’ and ‘wakefulness’. Patients in a persistent vegetative state can breathe without mechanical assistance. Heart, kidney and intestinal functions are normal and the bladder and bowels empty automatically. At times they appear to be awake. They will respond to painful stimuli by opening their eyes, moving their limbs, breathing more quickly, and occasionally grimacing. The type and degree of brain damage indicates, however, that they cannot perform any of the higher neurological or mental functions known to be essential for any mental processes or appreciation of their situation.per·sis·tent ve·ge·ta·tive state(pĕr-sis'tĕnt vej'ĕ-tā-tiv stāt) |
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