Tegenthoff M, Waskönig M T, Büttemeyer R
Neurologischen Klinik, Berufsgenossenchaftlichen Kliniken Bergmannsheil, Universitätsklinik Bochum.
Handchir Mikrochir Plast Chir. 1994 Sep;26(5):232-6.
The recording of brainstem auditory evoked potentials (BAEP) in severely burned patients can be used for judgement of brainstem function independent of consciousness and CNS-effective drugs. The frequency of central-nervous system complications due to burn injuries is between 7 and 30%. Using BAEP-recordings, we found objective neurophysiological parameters of central-nervous dysfunction in 12 of 25 severely burned patients (48%). Specific BAEP-parameters for burn injuries could not be detected. Specifically, very different time courses of BAEP-changes were found. In two patients, who died after severe burn injury, typical neurophysiological patterns of progressive cerebral pressure were observed. The measurement of BAEP is a useful diagnostic tool in detecting central-nervous dysfunction after burn injuries, especially for monitoring in non-cooperative patients.
对严重烧伤患者进行脑干听觉诱发电位（BAEP）记录，可用于判断脑干功能，且不受意识和中枢神经系统作用药物的影响。烧伤导致的中枢神经系统并发症发生率在7%至30%之间。通过BAEP记录，我们在25例严重烧伤患者中的12例（48%）发现了中枢神经功能障碍的客观神经生理学参数。未检测到烧伤损伤的特异性BAEP参数。具体而言，发现BAEP变化的时间过程差异很大。在两名严重烧伤后死亡的患者中，观察到了典型的进行性脑压神经生理学模式。BAEP测量是检测烧伤后中枢神经功能障碍的有用诊断工具，尤其适用于对不合作患者的监测。
