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134例创伤后长期无意识患者的预后。第2部分:72例意识恢复患者的功能预后。

Outcome in 134 patients with prolonged posttraumatic unawareness. Part 2: Functional outcome of 72 patients recovering consciousness.

作者信息

Groswasser Z, Sazbon L

机构信息

Loewenstein Rehabilitation Hospital, Ra'anana, Israel.

出版信息

J Neurosurg. 1990 Jan;72(1):81-4. doi: 10.3171/jns.1990.72.1.0081.

Abstract

Most publications regarding the outcome of traumatic brain injury include patients with periods of unconsciousness of varying durations. The aim of the present paper is to describe the outcome of 72 patients who suffered from prolonged unawareness for more than 30 days and subsequently recovered consciousness. Almost half of the patients were independent in activities of daily living and another 20% were only partially dependent. Cognitive and behavioral deficits were the most common central nervous system sequelae of injury. Eight patients (11.1%) were able to resume working in the open job market and 35 (48.6%) were engaged in sheltered workshops. Most of the patients (72%), including all those who were working, were living with their families. Although the mean rehabilitation period was about 15 months, over 70% of these severely injured patients are considered to be socially integrated, enabling them to enjoy a reasonable quality of life.

摘要

大多数关于创伤性脑损伤结果的出版物纳入了不同昏迷时长的患者。本文旨在描述72例长期昏迷超过30天且随后恢复意识的患者的预后情况。几乎一半的患者在日常生活活动中能够自理,另有20%仅部分依赖他人。认知和行为缺陷是最常见的损伤后中枢神经系统后遗症。8例患者(11.1%)能够在公开就业市场重新工作,35例(48.6%)在庇护工场工作。大多数患者(72%),包括所有正在工作的患者,与家人生活在一起。尽管平均康复期约为15个月,但超过70%的这些重伤患者被认为已融入社会,使他们能够享有合理的生活质量。

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