重型颅脑外伤后迁延性昏迷病人的脑电图波型与预后  

Prognosis of electroencephalogram patterns of patients with prolonged coma after severe cerebral injury

作　　者：康维礼[1] 洪军[1] 王升旭[1] 贺旭[1] 

机构地区：[1]第一军医大学南方医院康复科,广东广州510515

出　　处：《第一军医大学学报》2000年第5期432-434,共3页Journal of First Military Medical University

摘　　要：目的 探讨重型颅脑外伤后迁延性昏迷病人的脑电图（EEG）波型与预后的关系。方法 动态观察与分析了23例重型颅脑外伤后迁延性昏迷病人的EEG波型。结果 本组中A、B和C型各2例；D型1例；E和F型各6例；G型4例。结论 A、B、C、D和G型5种EEG昏迷波型对重型颅脑外伤后迁延性昏迷病人的早期预测有参考价值，而E和F波型对早期预测不能确定，取决于脑部结构损伤的严重程度和治疗等因素。Objective To explore the relationship between electroencephalogram (EEG) patterns and the prognosis in patients with prolonged coma after severe cerebral injury. Methods The EEG of 23 patients with prolonged coma after severe cerebral injury were continuously observed, and the EEG patterns were analyzed. Results Each of the EEG patterns type A, B and C were found in 2 (8.7%) cases, type D in 1(4.4%) case, E and F were in 6 (26.1%) cases respectively, and G in 4(17.4%). Conclusions It can be concluded that type A, B, C, D and G of EEG patterns (47.8%) in patients with prolonged coma after severe cerebral injury might be of value in predicating the prognosis, but the significance of type E and F of EEG patterns (52.2%) were not certain. The prognostic evaluation is largely depended on the severity of cerebral injury and the therapy administered.

关 键 词：颅脑损伤 脑电图 迁延性昏迷 波型 预后 

分 类 号：R651.15[医药卫生—外科学]