Raggueneau J L
Département de neuroanesthésie-neuroréanimation, hôpital Sainte-Anne, 1, rue Cabanis, 75014 Paris, France.
Ann Fr Anesth Reanim. 2001 Feb;20(2):108-14. doi: 10.1016/s0750-7658(00)00288-4.
Continuous EEG monitoring use has documented a surprisingly high incidence of convulsive and non-convulsive status epilepticus in patients with acute brain injuries. Seizures are the cause of secondary insult. Many problems may be encountered during EEG recording, such as electrical interferences and artefacts arising from the patient. To minimise these problems, we suggest the following: train the bedside nurse, make a library of the artefacts, have the EEG technologist check electrodes and establish low impedance, have the electroencephalographer examine the EEG, correlate the activity and movements of the patient. In the diagnosis and the management of convulsive and non-convulsive status epilepticus, the value of continuous EEG monitoring appears to be established.
持续脑电图监测的应用已证明，急性脑损伤患者惊厥性和非惊厥性癫痫持续状态的发生率高得出奇。癫痫发作是继发性损伤的原因。脑电图记录过程中可能会遇到许多问题，例如来自患者的电干扰和伪迹。为尽量减少这些问题，我们建议如下：培训床边护士，建立伪迹库，让脑电图技术人员检查电极并建立低阻抗，让脑电图医师检查脑电图，将患者的活动与脑电图活动相关联。在惊厥性和非惊厥性癫痫持续状态的诊断和管理中，持续脑电图监测的价值似乎已得到确立。
