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脑缺氧后出现的“α波昏迷”

'alpha pattern coma' following cerebral anoxia.

作者信息

Alving J, Møller M, Sindrup E, Nielsen B L

出版信息

Electroencephalogr Clin Neurophysiol. 1979 Jul;47(1):95-101. doi: 10.1016/0013-4694(79)90036-1.

Abstract

In 30 patients, who were all comatose as a result of cerebral anoxia after cardiac arrest, at least one EEG with activity in the alpha frequency range was recorded. Regionally the activity of the above mentioned characteristic was often diffusely distributed or most pronounced occipitally, whereas a tendency to affect other regions was rarely observed. In 50% of the patients, where more than one EEG was recorded, the 'alpha' rhythm was still present in the following record. Only one of the patients survived, and even so, with considerable mental defects. In 4 patients the level of consciousness improved, but 3 of them never reached a definite level of cortical function and died as a result of cerebral anoxia.

摘要

30例因心脏骤停后脑缺氧而昏迷的患者均记录到至少一次脑电图显示有α频率范围的活动。从区域上看,上述特征性活动常呈弥漫性分布或枕部最为明显,而很少观察到影响其他区域的倾向。在记录了不止一次脑电图的患者中,50%在后续记录中仍存在“α”节律。只有1例患者存活,即便如此,也有相当严重的智力缺陷。4例患者意识水平有所改善,但其中3例从未达到明确的皮质功能水平,最终因脑缺氧死亡。

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