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闭合性颅脑损伤后昏迷患者的听觉诱发电位:一种预测预后的临床神经生理学昏迷量表。

Auditory evoked potentials in coma after closed head injury: a clinical-neurophysiologic coma scale for predicting outcome.

作者信息

Karnaze D S, Weiner J M, Marshall L F

出版信息

Neurology. 1985 Aug;35(8):1122-6. doi: 10.1212/wnl.35.8.1122.

DOI:10.1212/wnl.35.8.1122
PMID:4022346
Abstract

We studied auditory evoked potentials in 45 head-injured patients. All but three were comatose or stuporous at the time of study. Preservation of brainstem auditory or long-latency auditory evoked potentials predicted good outcome. The Glasgow coma scale (GCS), the clinical subtotal of the neurophysiologic coma scale (NPCS), and the NPCS had predictive accuracies of 71%, 82%, and 82%. Although there were 22 falsely pessimistic predictions with the GCS and 9% with the clinical subtotal of the NPCS, there were no falsely pessimistic predictions with the NPCS.

摘要

我们对45例头部受伤患者的听觉诱发电位进行了研究。研究时,除3例患者外,其余患者均处于昏迷或昏睡状态。脑干听觉诱发电位或长潜伏期听觉诱发电位的保留预示着良好的预后。格拉斯哥昏迷量表(GCS)、神经生理昏迷量表(NPCS)的临床总分及NPCS的预测准确率分别为71%、82%和82%。虽然GCS有22例假性悲观预测,NPCS临床总分有9%的假性悲观预测,但NPCS没有假性悲观预测。

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Auditory evoked potentials in coma after closed head injury: a clinical-neurophysiologic coma scale for predicting outcome.闭合性颅脑损伤后昏迷患者的听觉诱发电位:一种预测预后的临床神经生理学昏迷量表。
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引用本文的文献

1
Coma in the pediatric patient: evaluation and management.
Indian J Pediatr. 1994 Jan-Feb;61(1):13-26. doi: 10.1007/BF02753551.
2
Predictive value of brain-stem auditory evoked potentials in children with post-traumatic coma produced by diffuse brain injury.脑干听觉诱发电位对弥漫性脑损伤所致创伤后昏迷儿童的预测价值。
Childs Nerv Syst. 1995 Jul;11(7):400-5. doi: 10.1007/BF00717405.
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Late post-concussional symptoms in traumatic head injury. An analysis of frequency and risk factors.创伤性脑损伤后的迟发性脑震荡症状。频率及危险因素分析。
Acta Neurochir (Wien). 1987;86(1-2):12-7. doi: 10.1007/BF01419498.
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Serial recordings of auditory brainstem responses in severe head injury: relationship between test timing and prognostic power.重型颅脑损伤患者听觉脑干反应的系列记录:检测时机与预后预测能力之间的关系。
Intensive Care Med. 1988;14(4):422-8. doi: 10.1007/BF00262900.
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Multimodality evoked potentials and early prognosis in comatose patients.昏迷患者的多模态诱发电位与早期预后
Neurosurg Rev. 1990;13(2):141-6. doi: 10.1007/BF00383655.
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The combined monitoring of brain stem auditory evoked potentials and intracranial pressure in coma. A study of 57 patients.昏迷患者脑干听觉诱发电位与颅内压联合监测:57例患者的研究
J Neurol Neurosurg Psychiatry. 1992 Sep;55(9):792-8. doi: 10.1136/jnnp.55.9.792.