Frowein R A, Firsching R
Neurosurgical University Clinic, Köln, Federal Republic of Germany.
Acta Neurochir Suppl (Wien). 1988;44:70-3. doi: 10.1007/978-3-7091-9005-0_13.
For the discussion of post-traumatic so-called full recovery, only a very limited array of injured persons were at our disposal. Two-thirds of these patients are young and their personality needs long, patient rehabilitation. However, duration of coma in young severely injured patients does not seem to mean the same as in elderly patients. Of the last third of our patients the greatest number work as craftsmen. Among the patients with a higher level of education, there were only 7% of patients with full recovery and also 7% with partial recovery, who actually went back to their original work. For the assessment of results, we have to be aware of the important differences of age and level of education. Therefore it would be probably worth-while to continue the work of Jean Brihaye in the Glossary, to define the items of post-traumatic personality, so that for a strongly restricted assessment of results, a limited but clearly defined group of patients can be compared.
对于创伤后所谓完全康复的讨论,我们仅能获取非常有限的一组伤者信息。这些患者中有三分之二是年轻人,他们的人格需要长期、耐心的康复治疗。然而,年轻重伤患者的昏迷持续时间似乎与老年患者的情况有所不同。在我们的患者中,最后三分之一的患者中从事手工艺工作的人数最多。在受教育程度较高的患者中,只有7%的患者完全康复,还有7%的患者部分康复,实际上恢复了原来的工作。为了评估结果,我们必须意识到年龄和受教育程度的重要差异。因此,继续让让·布里哈耶在术语表中开展工作,定义创伤后人格的各项内容,以便在对结果进行严格受限的评估时,能够比较一组有限但定义明确的患者,这可能是值得的。