Shakhnovich A R, Dubova S B, Belousova O B, Razumovskiĭ A E, Tomas D G
Zh Vopr Neirokhir Im N N Burdenko. 1986 Jul-Aug(4):7-14.
Informative signs for classification of disorders of consciousness were distinguished on the basis of clinico-physiological comparisons. Coma is characterized by failure of attempts to wake the patient, deep coma by muscular atonia, and protective inhibition coma by bilateral mydriasis. Opening of the eyes in response to a sound or pain is characteristic for the apallic syndrome, carrying out of instructions for deep stunning, answering questions for stunning. Clear consciousness is characterized by the patient's ability to orientate. Protective inhibition coma is always characterized by coarse changes of short latent evoked potentials in response to acoustic stimulation.
基于临床生理比较区分了意识障碍分类的信息性体征。昏迷的特征是唤醒患者的尝试失败，深度昏迷以肌肉张力缺失为特征，保护性抑制性昏迷以双侧瞳孔散大为特征。对声音或疼痛有睁眼反应是去大脑皮质综合征的特征，执行深度昏迷指令、回答昏迷相关问题。清醒意识的特征是患者的定向能力。保护性抑制性昏迷总是以对听觉刺激的短潜伏期诱发电位的明显变化为特征。
