Butinar D, Gostisa A
Institute of Clinical Neurophysiology, University Medical Center, Ljubljana, Slovenia.
Pflugers Arch. 1996;431(6 Suppl 2):R289-90. doi: 10.1007/BF02346382.
Follow-up brainstem auditory evoked potential (BAEP) and somatosensory evoked potential (SEP) studies were performed within 72 hours after admission in 127 children with severe head injury (Glasgow Coma Scale score of < or = 8) in order to predict quo ad vitam outcome of posttraumatic coma. Outcomes were categorised as brain death and survival. On first assessment 50 comatose children had normal BAEPs and SEPs. 78% of them survived and 22% deteriorated and died. 45 had abnormal findings. 69% of them improved and survived whilst 31% deteriorated and died. 32 children did not have recordable BAEPs and SEPs. All of them died. Thus, comatose children with normal EP studies have in 78% good prognosis and a bad outcome can be reliably predicted.
对127名重度颅脑损伤（格拉斯哥昏迷量表评分≤8分）儿童在入院后72小时内进行了随访脑干听觉诱发电位（BAEP）和体感诱发电位（SEP）研究，以预测创伤后昏迷的生命预后。结果分为脑死亡和存活。首次评估时，50名昏迷儿童的BAEP和SEP正常。其中78%存活，22%病情恶化死亡。45名有异常结果。其中69%病情改善并存活，31%病情恶化死亡。32名儿童的BAEP和SEP无法记录。他们全部死亡。因此，诱发电位研究正常的昏迷儿童78%预后良好，不良结局可得到可靠预测。
