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创伤性昏迷期间颅内压(I.C.P.)与脑电图变化的相关性(作者译)

[Correlations between intracranial pressure (I.C.P.) and EEG changes during traumatic coma (author's transl)].

作者信息

Munari C, Calbucci F

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1979 Apr-Jun;9(2):185-93. doi: 10.1016/s0370-4475(79)80074-x.

Abstract

A total of 55 polygraphic recording (ICP, EEG, EMG, EOG, Respiration, and ECG) were made in 20 comatose patients following cranial injuries, during the week after the injury. Whenever the ICP was stable, and without waves, and whatever the mean values were, the EEG tracing was slow, monomorphic, of large amplitude, and nonreactive. Each time that ICP recordings included Lundberg's B waves, the EEG tracings showed alternating bursts of slow waves and periods of rapid activity, with or without typical sleep patterns. The ICP increases each time there is flattening of the tracing and diminishes with the reappearance (spontaneous or provoked) of slow waves. The artificial respiration is not always involved in determining these phenomena.

摘要

在20名颅脑损伤后的昏迷患者受伤后的一周内,共进行了55次多导记录(颅内压、脑电图、肌电图、眼电图、呼吸和心电图)。无论何时颅内压稳定且无波形,无论平均值如何,脑电图描记图都是缓慢、单形、高幅且无反应的。每当颅内压记录包括伦德伯格B波时,脑电图描记图就会显示慢波阵发和快速活动期交替出现,伴有或不伴有典型睡眠模式。每当描记图变平时颅内压升高,而随着慢波(自发或诱发)再次出现颅内压降低。确定这些现象并不总是涉及人工呼吸。

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