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无反应患者的α波活动(作者译)

[Activities in the alpha band in unresponsive patients (author's transl)].

作者信息

Bauer G, Aichner F, Klingler D

出版信息

EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1982 Mar;13(1):28-33.

PMID:6806067
Abstract

Activities in the alpha band are to be encountered in unresponsive patients. A review is given over the different conditions. Patients suffering from pontine lesions mostly are not comatose but locked-in. Alpha activities with intoxications and with comatose states due to transtentorial herniation can be distinguished by the accompanying neurological signs. In severe metabolic coma alpha activities are to be observed as an epileptic phenomenon. Monorhythmical alpha activities with hypoxic coma are not accompanied by slow waves, succeed a burst suppression pattern and are an ominous prognostic sign.

摘要

在无反应的患者中可观察到α波频段的活动。本文综述了不同情况。患有脑桥病变的患者大多并非昏迷而是闭锁综合征。因中毒和小脑幕切迹疝导致昏迷状态时的α波活动可通过伴随的神经体征加以区分。在严重代谢性昏迷中,α波活动可作为一种癫痫现象被观察到。缺氧性昏迷时的单节律α波活动不伴有慢波,继突发抑制模式之后出现,是预后不良的征兆。

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