Baba S, Yagi T, Yoshizawa A, Ohtsuka T
No To Shinkei. 1984 Jun;36(6):595-600.
ABRs and EEGs were recorded from fifty comatose patients. Among them 21 patients were in deep coma and remaining 29 were in brain death that was diagnosed from clinical criteria. All the patients who showed some activity in EEG had ABR which showed waves I through V. However, there was no correlation between grade of EEG classification, dominant alpha, theta, or delta rhythm, and the inter wave latencies between waves I through V in the ABRs. Eleven of the twenty-nine patients who were diagnosed as brain death from clinical criteria and isoelectric EEG showed waves I through V potentials in ABR. Eight of these eleven patients even exhibited normal or nearly normal ABRs which had I to V latencies less than 4.4 ms. However, all the patients who showed isoelectric EEG and no response ABR died. Thus it is concluded that the ABR should be included for identification of brain death in addition to the clinical examination and EEG recordings.
对50名昏迷患者进行了听性脑干反应（ABR）和脑电图（EEG）记录。其中21名患者处于深度昏迷，其余29名被诊断为脑死亡，脑死亡依据临床标准判定。所有脑电图显示有活动的患者，其ABR均显示出I至V波。然而，脑电图分类等级、优势α波、θ波或δ波节律与ABR中I至V波之间的波间期并无相关性。29名根据临床标准被诊断为脑死亡且脑电图呈等电位的患者中，有11名ABR显示出I至V波电位。这11名患者中有8名甚至表现出正常或接近正常的ABR，其I至V波潜伏期小于4.4毫秒。然而，所有脑电图呈等电位且ABR无反应的患者均死亡。因此得出结论，除临床检查和脑电图记录外，ABR也应纳入脑死亡的鉴定中。
