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脑死亡判定死亡时间的医学问题(作者译)

[Medical aspects of cerebral death determination of the time of death (author's transl)].

作者信息

Angstwurm H, Kugler J

出版信息

Fortschr Neurol Psychiatr Grenzgeb. 1978 Jun;46(6):297-311.

PMID:248339
Abstract

As a result of the development of intensive-care medicine and organ transplantation, an increasing number of neurologists and other physicians are being confronted with problems of cerebral death and relevant diagnostics. Subsequent to a survey of the, after all, rather uniform pathogenesis, and of the anatomic findings, the clinical syndrome is described in detail with the object of helping to avoid a diagnostic misinterpretation of individual neurologic findings. The diagnostic aids or methods which can be applied at present, are judged with regard to the problems involved and their diagnostic value (experiences with the computer-tomogram have been omitted, since too few observations have been made to date). The paper concludes with a few pointers as to how these guidelines can be utilized when dealing with the concrete everyday situation of diagnosing cerebral death.

摘要

由于重症监护医学和器官移植的发展,越来越多的神经科医生和其他医生面临脑死亡及相关诊断问题。在对毕竟相当一致的发病机制和解剖学发现进行调查之后,详细描述了临床综合征,目的是帮助避免对个别神经学发现的诊断性误解。针对目前可应用的诊断辅助手段或方法,根据所涉及的问题及其诊断价值进行了评判(由于迄今观察到的病例太少,未提及计算机断层扫描的经验)。本文最后给出了一些关于在处理脑死亡诊断的具体日常情况时如何运用这些指南的提示。

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