摘要
本文介绍一种脑干反射测录法,通过脑干反射的隐现,判断脑干功能的动态变化。将脑干按功能分为6个不同平面,自上而下顺序为Ⅰ～Ⅵ,选择10种脑干反射反映各脑于平而的功能状态。每一平面至少有一种反射代表其功能特征。本文79例经过入院和72小时后测录,提示脑干反射观测法较GCS评分法更能动态地反映出脑干损害的范同和程度。本组结果显示Ⅲ平面以下持久损害者难以幸存,故将Ⅲ列为临界平面。
The clinical data, the prognosis, and the final issue of 79 cases of severe brain injuries were evaluated. All 79 cases were scored<8 according to Glasgow's Coma Scale (GCS). The brainstem was arbitrarily divided into six functional planes, namely Ⅰ: cortex-subcortex, Ⅱ. diendephalon, Ⅲ: diencephalo-mesencephalon juncture, Ⅳ: mesencephalon, Ⅴ:pons and Ⅵ: medulla. Ten reflexes were chosen to idendify the specific functional status at each plane. It was proved that the division of brainstem and the dynamic changes of specific reflexes were of great value in predicting the prognosis of severe brain injuries with coma. The diencephalomesencephalon juncture (plane Ⅲ) appeared to the critical plane, when the injury over-crossed this plane, the prognosis was almost invariably fatal.
出处
《创伤杂志》
CSCD
北大核心
1990年第1期3-6,共4页
