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创伤后早期严重闭合性颅脑损伤后脑电图和颅内压监测的预后信息。一项临床与实验研究。

Prognostic information from EEG and ICP monitoring after severe closed head injuries in the early post-traumatic phase. A clinical and experimental study.

作者信息

Knoblich O E, Gaab M

出版信息

Acta Neurochir Suppl (Wien). 1979;28(1):58-62. doi: 10.1007/978-3-7091-4088-8_11.

Abstract

Neither the EEG investigations on the first post-traumatic day after severe enclosed brain injury nor evaluation of the clinical finding on the first day permit a pronosis. Measurement of intracranial pressure is necessary for monitoring of intracranial complications, but can only make a contribution to prognosis when a critical intracranial pressure is reached. There is a slight correlation between the severity of the EEG alteration and the later outcome on the second day. If an alpha EEG is found on the first day, the prognosis in all cases is not so poor as assumed by other authors.

摘要

在严重闭合性脑损伤后的创伤后第一天进行的脑电图检查,以及第一天临床检查结果的评估,均无法作出预后判断。测量颅内压对于监测颅内并发症是必要的,但只有在达到临界颅内压时,才对预后有一定作用。脑电图改变的严重程度与第二天的后期结果之间存在轻微相关性。如果在第一天发现α波脑电图,那么在所有病例中,预后并不像其他作者所认为的那么差。

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