【摘要】 目的:探讨深度昏迷患者的床旁动态脑电图(ambulatoryelectroen-cephalogram,AEEG)改变及临床意义。方法:对38例临床诊断为深度昏迷患者进行床旁2～24hAEEG监测。结果深度昏迷患者的AEEG异常率为100%,扁平型17例(45%),慢波型16例(42%),α型3例(8%),β型2例(5%)。扁平型和β型AEEG改变者均在48h内死亡;慢波型者有6例成活,均有躯体和语言功能障碍;α型者均有成活。结论:证明扁平型和慢波型AEEG改变是深度昏迷患者的主要表现特征,少数病例为α与β型AEEG;扁平型和β型AEEG改变是深度昏迷脑死亡患者临床诊断的重要依据,而慢波型改变者仍有苏醒的可能。更多还原

【Abstract】 AIM:To explore the changes and clinical value of ambulatory electroencephalogram(AEEG) in the “bed side”of patients with le coma depasse. METHODS:Thirty eight patients who were clinically diagnosed to have “Le Coma Depasse”were given 2-24 hours of AEEG in the “bed side”. RESULTS: The abnormal rate of AEEG patients was 100%,17 were flat type(45%) ,16 were slow wave type(42%),3 were αtype(8%) and 2 wereβtype(5%).Patients of βtype were all dead in 48 hours;6 patients of slow wave type were alive with body and language disturbance;patients of αtype were all alive. CONCLUSION:It is the main features of patients with “Le Coma Depasse”that changes of the flat type and low high slow wave type AEEG, and a few patients belong to αand βtype AEEG.Flat type and βtype AEEG change is an important evidence for clinical diagnosis of patients with Le Coma Depasse,while the patients with slow wave type AEEG still have the possibility of revival.更多还原