摘要
目的 :探讨昏迷病人的脑电图表现和预后之间的关系。方法 :对 16 9例昏迷病人的脑电图进行回顾性分析 ,并将其与临床结局作对照。结果 :脑电图慢波型昏迷 12 0例中死亡 2 3例 (19 1% ) ;α昏迷型 11例中死亡 9例 (81 8% ) ;β昏迷型 3例和纺锤昏迷型 2例均存活 ;发作波型昏迷 13例中死亡 2例 (15 3% ) ;平坦波型昏迷 2 0例中死亡 17例 (85 % )。结论 :脑电图可作为判断昏迷病人临床预后的参考指标 ,平坦波昏迷和α波昏迷者大多死亡。β昏迷和纺锤昏迷则预后良好。
Objectives:To explore the relationship between electroencephalograms(EEGs)manifestation and the prognosis of comatose patients.Methods:The EEGs of 169 comatose patients were analyzed retrospectively and compared with the clinical outcome.Results:ln all the comatose patients, slow wave pattern EEG was found in 120 ones, α coma in 11,β coma in 3 and spindle coma in 2, paroxysmal wave pattern in 13,electrocerebral silence in 20 patients. The death rate was 19.1%(23/120 patients),81.8%(9/11),15.3%(2/13)and 85%(17/20)respectively.Conclusions:EEG might be served as an important reference index for judging the prognosis of the comatose patients.Most of comatose patients with electrocerebral silence and α coma died. Whereas, patients with β coma and spindle coma migtht have a good outcome.
关键词
昏迷
脑电图
预后
Coma
Electroencephalogram
Prognosis
