Mjøen S, Nordby H K, Torvik A
Acta Otolaryngol. 1983 Jan-Feb;95(1-2):131-8. doi: 10.3109/00016488309130926.
Auditory evoked brainstem responses (ABR) were recorded in 11 comatose patients suffering from severe head trauma. The recordings were performed while the patients were being cared for in the neurosurgical intensive care unit. The ABR results, together with the clinical laboratory data, were correlated to the outcome for the patients. In 6 patients who died of their brain injuries, complete autopsies together with transverse cutting of the brainstem were performed in order to chart the extent of the brainstem lesions. Our findings suggest that the ABR test is a reliable diagnostic tool for predicting the outcome of patients comatose as a result of head trauma. The interpretation of the ABR results in cases suspected of brain death is discussed in the light of an illustrative case report.
对11例重度颅脑外伤昏迷患者进行了听觉诱发电位脑干反应（ABR）检查。检查在患者于神经外科重症监护病房接受护理时进行。将ABR检查结果与临床实验室数据相结合，与患者的预后情况进行关联分析。对6例因脑损伤死亡的患者进行了完整尸检及脑干横切，以明确脑干损伤程度。我们的研究结果表明，ABR检查是预测因头部外伤而昏迷患者预后的可靠诊断工具。结合一份典型病例报告，对疑似脑死亡病例中ABR检查结果的解读进行了讨论。
