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基于25年随访的出生时脑损伤后脑病

[Encephalopathy after brain injuries during birth in the light of a 25-year follow-up].

作者信息

Gruszczyński W

机构信息

Instytutu Higieny Psychicznej WAM.

出版信息

Psychiatr Pol. 1991 Mar-Apr;25(2):115-22.

PMID:1821955
Abstract

In the years 1916-1989 104 men (68% boys examined in the 60th) of the average age of 36 underwent catamnestic examinations. They were stated in 1960-62, according to clinical documentation of delivery to have the birth brain injury. The main aim of the work was to try to explain whether the particular disturbances of children and teenagers with M.B.D. are only passing episodes or they transfer into the psychic disturbances when patients grow up, and also to find out if there is any relation between them. The results of the examination after 25 years proved but the organic irreversible damage of the central nervous system in 71% of men and in 60% of cases the birth injury was the only factor and in the rest ones it was one of many reasons. The clinical manifestation of the diagnosed organic brain damage after the birth injury in the case of grown-ups were: wrong developed personality mainly in the emotional sphere, psychosomatic diseases with aggravated vegetative reactions, incorrect results of additional tests and also disability to functioning in society with social unfitness. In the light of the examinations it seems that birth brain injury is a very important risk factor for unfitness to modern civilization.

摘要

在1916年至1989年间,对平均年龄为36岁的104名男性(占第60次检查中受检男孩的68%)进行了随访检查。根据1960 - 1962年的分娩临床记录,他们被认定存在出生时脑损伤。这项研究的主要目的是试图解释患有轻微脑功能障碍的儿童和青少年的特定障碍是仅仅是短暂发作,还是会在患者长大后转变为精神障碍,同时还要查明它们之间是否存在任何关联。25年后的检查结果表明,71%的男性存在中枢神经系统的器质性不可逆损伤,60%的病例中出生损伤是唯一因素,其余病例中出生损伤是多种原因之一。成年后出生损伤所致器质性脑损伤的临床表现为:主要在情感领域人格发展异常、伴有植物神经反应加重的心身疾病、附加检查结果异常以及无法在社会中正常 functioning 且社会适应不良。根据检查结果,出生时脑损伤似乎是不适应现代文明的一个非常重要的危险因素。 (注:原文中“functioning”可能有误,也许是“function”,整体翻译尽量忠实于原文,供你参考。)

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