(Abelson 1982, Jennett & Teasdale 1984).

.
5 :

M 2

Glasgow Coma Score

) :
) :

(4),
(3),
(2),
(1).

) :

(5),

(4),
, (3),
, (2),
(1).

) :

Eye Opening (E)

Verbal Response (V)

Motor Response (M)

4=Spontaneous
3=To voice
2=To pain
1=None

5=Normal conversation
4=Disoriented conversation
3=Words, but not coherent
2=No words......only sounds
1=None

6=Normal
5=Localizes to pain
4=Withdraws to pain
3=Decorticate posture
2=Decerebrate
1=None

Total = E+V+M

(6),
(5),
(4),
(3),
, (2),
(1).

: 3, : 15, <8
3 3.
() 7 9. Teasdale G., Jennett B., LANCET (ii) 81-83, 1974.

) :
) :

(4),
(3),
(2),
(1).

( = 15)

,

) : (5),
(4),
(3),
(2),
(1).

( = 8 14)


.

) : (6),
(5),
(4),
(3),
(2),
(1).

( = 3-8)

.

: 3, : 15, <8
3. () 7 9.
5

()
(GCS score)

) GCS score 14 15. , ,

, CT.
) GCS score 9 13. (
, , ,
, , ,
,
), CT
. .
.
) GCS score 3 8 .
. (
PaCO2 ),
,
, , (
), , 30 ,
( ) ( )
, (`` ),

, .
7

SENSORY FUNCTION


( , ,
, )

.
:

: , , ,,
, , .
:
( ) ,,
(
, ).
:
( )
( ).
.
( ):
(, , ).
: (
: .,
, ).
: (,
, ).
: Parinaud (
, ).

.

. ,


.

()

.

1.5
6 mm

11

Jane Mallett & Cristopher Bailey (2003) Manual of Clinical Nursing Procedures.
The Royal Marsden NHS Trust.London.

10

12

13

()

14

.


15

16