Earnest M P, Breckinridge J C, Yarnell P R, Oliva P B
Neurology. 1979 Jan;29(1):56-60. doi: 10.1212/wnl.29.1.56.
One hundred and seventeen patients were admitted following out-of-hospital cardiac arrest. After initial neurologic evaluation, they were followed prospectively until discharge or death. Seventeen patients were alert when admitted. Of these, four died and 10 of 13 survivors were neurologically normal. One hundred of the patients were unresponsive; of these, 60 died. Of 40 survivors, 15 were neurologically normal, at discharge; 15 could perform some self-care but were confused, and 10 required total care. Absence of pupillary light reaction, oculocephalic reflexes, purposeful response to pain, and spontaneous respirations were associated with high mortality and more severe neurologic deficits. However, some patients with usually unfavorable signs recovered good neurologic function.
117例患者在院外心脏骤停后入院。经过初始神经学评估后，对他们进行前瞻性随访直至出院或死亡。17例患者入院时神志清醒。其中，4例死亡，13例幸存者中有10例神经功能正常。100例患者无反应；其中，60例死亡。40例幸存者中，15例出院时神经功能正常；15例能够进行一些自我护理但意识模糊，10例需要完全护理。瞳孔对光反射、眼前庭反射消失，对疼痛无目的性反应以及无自主呼吸与高死亡率和更严重的神经功能缺损相关。然而，一些通常具有不良体征的患者恢复了良好的神经功能。
