闭锁综合征的诊治和康复  

DIAGNOSIS,TREATMENT AND REHABILITATION OF THE LOCKED-IN SYNDROME

作　　者：金梅[1] 林军华[1] 王士列[1] 金辉[1] 

机构地区：[1]解放军171医院

出　　处：《九江医学》2003年第1期14-15,17,共3页Jiujiang Medical Journal

摘　　要：目的 :研究闭锁综合征的诊治和康复方法。方法 :对 1996年 7月至 2 0 0 1年 7月确诊的 7例患者临床资料进行回顾性分析。结果 :闭锁综合征的诊断要依靠特殊的临床表现、头颅CT和MRI;治疗主要是针对病因治疗、控制脑水肿、改善脑干代谢和循环功能 ,早期鼻饲以及语言、吞咽、面肌和瘫痪四肢运动等功能的康复。结论 :早期诊断 ,病因治疗 ,对症处理及早期鼻饲和康复训练是治疗闭锁综合征成功的关键。Objective:To study diagnosis,treatment and rehabilitations of the locked-in syndrome.Method:The clinical data of seven patients with the locked-in syndrome diagnosed confirmly in clinic were retrospectively analysed.Results:The locked-in syadrome should be diagnosed confirmly by special clinical manifestations and the head CT and MRI.Treatment methods included pathogeny treatment,control cerebral edema,improvement metabolic and circulation functions of the cerebral stem,nasal feeding and rehabilitations of language,swallowing,facial and the extremities movement functons in the early stage of the syndrome.Conclusion:It was key for the locked-in syndrome treated successfully that included early diagnosis,pathegeny and symptomatic treatment,nasal feeding and rehabilitatons train in the early stage of locked-in syndrome.

关 键 词：闭锁综合征 康复 诊断 误诊 治疗 急性期 康复期 复方丹参注射液 生理盐水 青霉素钠 

分 类 号：R745.1[医药卫生—神经病学与精神病学]