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[脑功能的标准化监测]

[Standardized monitoring of brain function].

作者信息

Zettler H, Michalik M, Zschenderlein R

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1984 Oct;36(10):604-11.

PMID:6514860
Abstract

A form is described for recording the results obtained when monitoring the brain function in cases of severe acute brain damage. The form follows the principles introduced in other countries for recording the results of similar standard examinations, but the symptoms and scalings have been modified to suit the author's requirements. The state consciousness as shown by the opening of the eyes, verbal response and motor reactions to various stimuli is considered essential for the continuous monitoring of the brain function, as are also the dilation of the pupile and their response to light and the vestibuloocular reaction. The form also contains entries for respiration, blood pressure, heart rate and body temperature. The neurological symptoms have been selected on the basis of their diagnostic value, consistency and simplicity of examination and interpretation. The advantages of a standard examination scheme are explained. Advice is given regarding the examination of the different symptoms.

摘要

本文描述了一种用于记录在严重急性脑损伤病例中监测脑功能时所获结果的表格。该表格遵循其他国家引入的用于记录类似标准检查结果的原则,但症状和评分已作修改以符合作者的要求。睁眼、言语反应以及对各种刺激的运动反应所显示的意识状态,对于持续监测脑功能至关重要,瞳孔的散大及其对光的反应以及前庭眼反射也是如此。该表格还包含呼吸、血压、心率和体温的记录项。神经症状是根据其诊断价值、检查和解释的一致性及简易性来选取的。文中解释了标准检查方案的优点。针对不同症状的检查给出了建议。

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