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[早期听觉诱发电位对小儿急性颅脑外伤的诊断价值]

[Diagnostic value of the early auditory evoked potentials in acute cranio-cerebral trauma in children].

作者信息

Küttner K, Bauer F, Knüpper P

机构信息

Hals-Nasen-Ohren-Klinik, Bezirkskrankenhauses Suhl.

出版信息

Kinderarztl Prax. 1990 Jan;58(1):37-43.

PMID:2332946
Abstract

The brainstem auditory evoked potentials were recorded in 54 children within the first 48 hours after a head trauma of different degree. In comparison with an age--appropriate standard group there are changed BAEP in 51% of the examined children after head trauma. The abnormalities mainly consist in changes of the wave--morphology, the latencies of the waves 1, 3 and 5 were significantly prolonged. The interpeak--intervals only unessentially differ from the standard group. The detected BAEP--changes are of different kind and incidence. A typical change of the potential for the infantile head trauma cannot be found. The regression of the traumatically conditioned BAEP--changes begins during the first days after trauma and it is finished within 6 months in half of the children. In the particular case changes can be detected after two years yet.

摘要

对54名不同程度头部外伤儿童在伤后48小时内进行脑干听觉诱发电位记录。与年龄匹配的标准组相比,51%的头部外伤患儿脑干听觉诱发电位发生改变。异常主要表现为波形改变,波I、III和V的潜伏期显著延长。峰间期与标准组相比仅有轻微差异。所检测到的脑干听觉诱发电位改变类型和发生率各不相同。未发现婴儿头部外伤电位的典型改变。创伤性脑干听觉诱发电位改变在伤后最初几天开始消退,一半儿童在6个月内恢复。个别情况下,两年后仍可检测到改变。

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