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围产期窒息后的脑电图变化

[EEG changes following perinatal asphyxia].

作者信息

Haffner B, Heinz-Erian P, Bindra A, Oberhofer A, Holzleitner C, Frisch H

出版信息

Padiatr Padol. 1984;19(3):241-50.

PMID:6472865
Abstract

The EEG was studied in 46 pre-term and 43 full-term babies to evaluate its usefulness in estimating the degree of perinatal asphyxia. During the first 12 hours after a severe perinatal asphyxia isoelectric periods (IEP) of abnorm long duration are dominant in the EEG-records of pre-term and full-term babies and remain dominant in EEG-records of pre-term babies during the second 12 hour-period. During the first 12 hour-period in the EEG-records of full-term babies epileptic seizure patterns (ESP) appear sporadically, while in the second 12 hour-period they increase with respect to number and duration and often become even dominant within single records. During the second and third day of life ESP decrease in the EEG-records of full-term babies. IEP remain dominant in about 30% in the EEG-records of pre-term babies. During episodes of bradycardia with or without apnoea a three to fourfold increase of IEP is seen. Therefore an increase of number and/or duration of episodes of bradycardia does not seem to be without importance for cerebral function.

摘要

对46名早产儿和43名足月儿的脑电图进行了研究,以评估其在估计围产期窒息程度方面的作用。在严重围产期窒息后的最初12小时内,异常长时间的等电位期(IEP)在早产儿和足月儿的脑电图记录中占主导地位,并且在第二个12小时期间,IEP在早产儿的脑电图记录中仍占主导地位。在足月儿的脑电图记录中,癫痫发作模式(ESP)在最初12小时期间偶尔出现,而在第二个12小时期间,其数量和持续时间增加,并且在单个记录中常常甚至占主导地位。在足月儿出生后的第二天和第三天,ESP在脑电图记录中减少。在早产儿的脑电图记录中,约30%的IEP仍占主导地位。在伴有或不伴有呼吸暂停的心动过缓发作期间,IEP增加三到四倍。因此,心动过缓发作次数和/或持续时间的增加似乎对脑功能并非没有影响。

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