Dénes Z, Fehér M, Lantos A, Vass M
Koponya-agysérültek Rehabilitációs Osztálya, Országos Orvosi Rehabilitációs Intézet, Budapest.
Orv Hetil. 2000 Jun 25;141(26):1439-42.
Authors report rehabilitation outcomes of anoxic brain injured patients, following reanimation. In the past 12 years (1988-1999) they treated 54 patients. The patients were selected from other hospitals after successful reanimation, but sustained diffuse anoxic brain injury. The CT and MR examination was generally negative, but small hypodensities were shown rarely (18/54). At the time of admission 21 patients were quadriparetic, 5 patients were hemiparetic, 2 were paraparetic and there were no any paresis in 26 cases. The mean age of the patients was 32 years (7-61). At the time of admission 31 patients were dependent in basic activities of daily living, the mean Barthel Index score was 15 (0-100) but at the time of discharge it was 45 (0-100). 41 patients were discharged into their home and 13 patients had to be transmitted to another hospital for further treating, but later 5 of them died. At the time of discharge only 7 patients had score 100 of the Barthel Index, but they were not able for independent living. Family support, mainly guidance was necessary. Memory deficits, apraxia, attention disturbance, ataxia were the main problems during the rehabilitation process.
作者报告了复苏后缺氧性脑损伤患者的康复结果。在过去12年（1988 - 1999年）中，他们治疗了54例患者。这些患者是在其他医院成功复苏后被挑选出来的，但患有弥漫性缺氧性脑损伤。CT和MR检查通常为阴性，但很少出现小的低密度影（18/54）。入院时，21例患者四肢瘫痪，5例患者偏瘫，2例患者截瘫，26例患者无任何瘫痪症状。患者的平均年龄为32岁（7 - 61岁）。入院时，31例患者日常生活基本活动依赖他人，Barthel指数平均评分为15（0 - 100），但出院时为45（0 - 100）。41例患者出院回家，13例患者不得不转至另一家医院进一步治疗，但后来其中5例死亡。出院时，只有7例患者Barthel指数评分为100，但他们无法独立生活。家庭支持，主要是指导是必要的。记忆缺陷、失用症、注意力障碍、共济失调是康复过程中的主要问题。
