脑电图在闭合性轻、中型脑损伤中的应用价值.docVIP

脑电图在闭合性轻、中型脑损伤中的应用价值 ?46?中华损伤与修复杂志(电子版)2009年第4卷第3期ChinJInjuryRepairandWoundHealing(ElectronicEdition),June2009,Vol4,No.3 脑电图在闭合性轻,中型脑损伤中的应用价值 袁彬 【摘要】目的探讨脑电图(EEG)在闭合性轻,中型脑损伤中的诊断和预后价值.方 法本组86例闭合性轻,中型脑损伤住院患者,入院3d内进行EEG检查,EEG异常者于15 d后复查,根据EEG异常情况继续跟踪检查,并与有关CT资料对比.结果本组86例患 者,轻型脑损伤33例中EEG异常8例,异常率24.2%;中型脑损伤53例中EEG异常27例,异 常率50.9%.经复查,轻型脑损伤异常EEG均恢复正常,中型脑损伤仍有1I~EEG异常, 随访观察,还有4例呈痫样放电.结论EEG能客观反映脑损伤后脑功能状况,EEG好转与 临床症状呈平行关系,EEG还可早期发现继发性病变如外伤性癫痫等.EEG对了解大脑 损伤程度,部位,脑功能恢复情况及预后判断有一定意义. 【关键词】脑损伤;脑电图;预后;痫样放电 ApplicationofEEGinclosedlightandmoderatebraininjuryYUANBin.Depatermentof neurosurgery.TheFirStPeopleISHospitalofShangqiu.Shangqiu4761O0.China 【Abstract]ObjectiveToinvestigatetheEEGindiagnosisandprognosisoftheclosed lightandmoderatebraininjury.MethodsEighty—sixcasesofclosedlightandmoderatebrain injury.patientsunderwentEEGexaminationin3daysafterhospitalizationandthosewith,EEG abnormalitieswerereviewedin15days.Continuousfollow梪pinspectionwasdoneaccordingto theEEGunusualdemonstrationsandtheresultswerecomparedwiththeCTdata.Results AmongtheEighty梥ixcasesinthisgroup,8casesofabnormalEEGwasfoundin33casesof lightbraininjury.abnormalratebeing24.2%.Twenty-sevencasesofabnormalEEGwas foundin53casesofmoderatebraininjury,abnormalratebeing50.9%.Afterreview,allthe casesofabnormalEEGoflightbraininjurywerebacktonorma1.Therewerestill11casesof abnormalEEGinmoderatebraininjury.Follow梪pshowedthat,therewerefourcasesof epileptiformdischarges.ConelusionsEEGcanobjectivelyreflectthesituationofbrain functionafterbraininjury.EEGimprovementhasparallelrelationshipwithclinicalsymptoms. EEGcanalsobeusedtoearlydetectthesecondarydiseasessuchastraumaticepilepsy.EEGhas acertainsignificancetotheunderstandingoftheextent,locationofbraindamage,recoveryof brainfunctionandprognosis. [Keywords]Braininjury;Electroencepha1ography;Prognosis;Epileptiformdischarge 颅脑损伤多见于交通,工矿等事故,自然灾 害,爆炸,火器伤,坠落,跌倒以及各种锐器, 钝器对头部的伤害,如何用较客观的方法来判 定脑损伤后脑功能的恢复及预后,普遍受到关 注.本文将探讨脑电图(EEG)在闭合性轻,中 型脑损伤中诊断,脑功能恢复情况及预后方面的 意义. 资料与方法 一 ,临床资料 选择商丘市第一人民医院神经外科2007年