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新生儿听觉脑干反应不能可靠地诊断脑干死亡。

Neonatal auditory brainstem response cannot reliably diagnose brainstem death.

作者信息

Dear P R, Godfrey D J

出版信息

Arch Dis Child. 1985 Jan;60(1):17-9. doi: 10.1136/adc.60.1.17.

DOI:10.1136/adc.60.1.17
PMID:3970562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1777067/
Abstract

In two newborn infants who had experienced severe asphyxial insults, and who showed noticeable signs of brainstem dysfunction, all components of the auditory brainstem response except the eighth nerve potential became undetectable. Both babies survived, their brainstem responses returned, and one of them is judged to be developmentally normal at the age of 18 months. Clinical signs of brainstem dysfunction with complete cessation of conduction in the brainstem auditory pathway cannot be taken, therefore, as a sign of irreversible brainstem damage in the human newborn.

摘要

在两名经历过严重窒息损伤且表现出明显脑干功能障碍迹象的新生儿中,除第八神经电位外,听觉脑干反应的所有成分均无法检测到。两名婴儿均存活下来,他们的脑干反应恢复了,其中一名在18个月大时被判定发育正常。因此,脑干听觉通路传导完全停止的脑干功能障碍临床体征不能被视为人类新生儿不可逆脑干损伤的标志。

相似文献

1
Neonatal auditory brainstem response cannot reliably diagnose brainstem death.新生儿听觉脑干反应不能可靠地诊断脑干死亡。
Arch Dis Child. 1985 Jan;60(1):17-9. doi: 10.1136/adc.60.1.17.
2
Auditory brainstem response in NICU infants.
Int J Pediatr Otorhinolaryngol. 1984 Dec;8(2):155-62. doi: 10.1016/s0165-5876(84)80064-6.
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The brainstem auditory evoked response in neurological disease: a review.神经系统疾病中的脑干听觉诱发电位:综述
Ear Hear. 1981 Jan-Feb;2(1):41-51. doi: 10.1097/00003446-198101000-00008.
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Brain-stem audiometry in infants and children.
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Infant hearing assessment utilizing auditory brainstem techniques.利用听觉脑干技术进行婴儿听力评估。
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Clinical experience with auditory brainstem response audiometry in pediatric assessment.小儿评估中听觉脑干反应测听法的临床经验。
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The choice of stimulus in the auditory brainstem response test for neurological and audiological examinations.
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Neonatal auditory brainstem response cannot reliably diagnose brainstem death.新生儿听觉脑干反应不能可靠地诊断脑干死亡。
Arch Dis Child. 1985 Apr;60(4):396. doi: 10.1136/adc.60.4.396.
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Auditory brainstem response in neonates during the first 48 hours after birth.出生后48小时内新生儿的听觉脑干反应
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引用本文的文献

1
Neonatal auditory brainstem responses.新生儿听觉脑干反应
Arch Dis Child. 1985 Oct;60(10):992-3. doi: 10.1136/adc.60.10.992-c.
2
Neonatal auditory brainstem response cannot reliably diagnose brainstem death.新生儿听觉脑干反应不能可靠地诊断脑干死亡。
Arch Dis Child. 1985 Apr;60(4):396. doi: 10.1136/adc.60.4.396.
3
Diagnosis of brain death by transcranial Doppler sonography.经颅多普勒超声检查诊断脑死亡
Arch Dis Child. 1988 Dec;63(12):1474-8. doi: 10.1136/adc.63.12.1474.
4
Brain stem auditory evoked potentials monitoring in the diagnosis of brain death--clinical application and reliability.脑干听觉诱发电位监测在脑死亡诊断中的临床应用及可靠性
Neurosurg Rev. 1989;12 Suppl 1:328-39. doi: 10.1007/BF01790670.
5
The ethics of cardiopulmonary resuscitation. II. Medical logistics and the potential for good response.心肺复苏的伦理学。II. 医疗后勤保障与良好反应的可能性
Arch Dis Child. 1992 Dec;67(12):1502-5. doi: 10.1136/adc.67.12.1502.

本文引用的文献

1
Brainstem auditory and short-latency somatosensory evoked responses in brain death.脑死亡中的脑干听觉和短潜伏期体感诱发电位
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Auditory brainstem responses in preterm neonates: maturation and follow-up.早产儿的听觉脑干反应:成熟与随访
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Anoxic encephalopathy with predominant involvement of basal ganglia, brain stem and spinal cord in the perinatal period. Report on seven newborns.围生期以基底节、脑干和脊髓为主受累的缺氧性脑病。7例新生儿报告。
Acta Neuropathol. 1975 Oct 1;32(4):287-98. doi: 10.1007/BF00696791.
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Auditory brain-stem responses in brain death.
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