Kaufmann M, Scheidegger D, Strebel S
Departement Anästhesie und Intensivmedizin, Universität Basel, Kantonsspital.
Z Unfallchir Versicherungsmed. 1991;84(2):95-100.
An early prognosis may influence the management of severely head-injured patients. Clinical aspects (age, Glasgow Coma Score, pupil reaction) and neuroradiological findings (basal cysternes, midline shift) are the most important facts for prognosis; evoked potentials, stress parameters and the quality of resuscitation also correlate with definitive outcome. Despite a clear correlation between these single factors and outcome, prognosis during the first 48 hours remains too uncertain to justify an influence on initial management.
早期预后可能会影响重型颅脑损伤患者的治疗。临床因素（年龄、格拉斯哥昏迷评分、瞳孔反应）和神经放射学检查结果（基底池、中线移位）是预后的最重要因素；诱发电位、应激参数和复苏质量也与最终结局相关。尽管这些单一因素与结局之间存在明显的相关性，但伤后48小时内的预后仍过于不确定，不足以证明对初始治疗产生影响是合理的。
