临床脑死亡患者的脑电定性研究  

Qualitative study of EEG in clinical brain death patients

作　　者：章悦[1] 孙冰[1] 吴洵佚[1] 王晋阳[1] 朱国行[1] 

机构地区：[1]复旦大学附属华山医院脑电图室

出　　处：《临床神经电生理学杂志》2007年第5期274-276,共3页Journal of Clinical Electroneurophysiology

摘　　要：目的:探讨脑电图(EEG)对脑死亡的诊断价值。方法:研究对象共35例,按照美同神经病学会(AAN)指南分成两组,脑死亡组和非脑死亡组。脑死亡组共有病人22例。其中男性14例,女性8例,年龄16～85岁;非脑死亡组13例,其中男性7例,女性6例,年龄17～84岁。使用床旁EEG机描记病人的脑电活动。2名专业医师进行脑电信号分析。结果:脑死亡组22例病人中,17例为脑电静息,占77%,临床均预后不佳;5例有脑电活动,占23%,其中4例在随访中有不同程度的恢复,1例死亡。非脑死亡组中无一例出现脑电静息,该组预后相对较好。结论:EEG是判定脑死亡一种重要的辅助检查方法。Objective：To assess the value of EEG test in determining brain death. Methods： According to the AAN guideline, 35 patients were divided into two groups： the suspected brain death group, including 14 males and 8 females, aged from 16 to 85, and the none brain death group which consisted of 7 males and 6 females, aged from 17 to 84. Each patient＇s EEG activities were recorded by portable EEG equipment. Two EEG specialists were responsible for EEG analysis. Results： Seventeen of the 22 patients, accounting for 77% of the brain death group manifested EEG silence in the examination and died during the following week. Four of other 5 patients whose EEGs were not silent experienced different extent of recovery in the following days. While none of the patients in the none-brain death group showed EEG silence and their prognosis were relatively optimistic. Conclusion： The EEG test, especially to patients whose medical conditions were rather confusing, is valuable and feasible for the diagnosis of brain death.

关 键 词：脑死亡 脑电图 定性研究 

分 类 号：R742[医药卫生—神经病学与精神病学] R741.044[医药卫生—临床医学]