Groher M
J Speech Hear Res. 1977 Jun;20(2):212-23. doi: 10.1044/jshr.2002.212.
Patients who suffer closed head trauma may demonstrate communication disorders which have been variously described as aplasia, severe memory impairments, traumatic aphasia, or confusion. The memory and language skills of 14 patients who had suffered closed head trauma were documented after they regained ocnsciousness and at one-month intervals for four monts utilizing the Porch Index of Communicative Ability and the Wechsler Memory Scale. Results indicated that patients initially suffered both reduced memory and language skills. After four months, expressive and receptive language skills were grossly functional for conversational purposes, and all memory taskd with the exception of orientation skills were within normal limits. Significant improvement in both language and memory functioning most often occurred during the first month after regaining consciousness, although gradual improvement in both language and memory skills was noted beyond the one-month period. No significant correlations existed between the length of unconsciousness and the initial and final language and memory scores.
遭受闭合性颅脑损伤的患者可能会表现出各种不同的交流障碍，如发育不全、严重记忆障碍、创伤性失语或意识模糊。利用交际能力的波奇指数和韦氏记忆量表，对14例遭受闭合性颅脑损伤的患者在恢复意识后以及之后四个月每隔一个月的记忆和语言技能进行了记录。结果表明，患者最初记忆和语言技能均下降。四个月后，表达性和接受性语言技能在交谈目的上基本功能正常，除定向技能外的所有记忆任务均在正常范围内。语言和记忆功能的显著改善最常发生在恢复意识后的第一个月，尽管在一个月之后语言和记忆技能也有逐渐改善。昏迷时间长短与初始及最终语言和记忆分数之间不存在显著相关性。
