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急性创伤后昏迷的临床病程及预后

Clinical course and prognosis of acute post-traumatic coma.

作者信息

Pazzaglia P, Frank G, Frank F, Gaist G

出版信息

J Neurol Neurosurg Psychiatry. 1975 Feb;38(2):149-54. doi: 10.1136/jnnp.38.2.149.

Abstract

The clinical course and prognosis of 282 cases of acute post-traumatic coma have been studied. Death occurred in 140 cases (49 percent), and, of survivors, about two-thirds achieved complete social reintegration, while one-third were partially reintegrated or not at all. The quality of survival did not depend only on the nature of the physical sequelae, but also on other factors, particularly social ones. With regard to early prognosis, the authors believe it is possible to predict the final outcome of the patient by using the indices of age, level of coma, and the nature of the intracranial lesions.

摘要

对282例急性创伤后昏迷患者的临床病程及预后进行了研究。140例(49%)死亡,幸存者中,约三分之二实现了完全重返社会,而三分之一仅部分重返社会或根本未能重返社会。生存质量不仅取决于身体后遗症的性质,还取决于其他因素,尤其是社会因素。关于早期预后,作者认为通过年龄、昏迷程度和颅内病变性质等指标有可能预测患者的最终结局。

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