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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。
Objective: To explore the relationship between EEG performance and prognosis in coma patients. Methods: A retrospective analysis was performed on EEG of 169 patients who were unconscious and compared with clinical outcomes. Results: EEG slow wave coma 12 cases of death in 23 cases (19 1%); α coma 11 cases of death in 9 cases (81 8%); β coma 3 cases and spindle coma 2 cases Survival; Seizure wave coma in 13 cases of death in 2 cases (15 3%); flat wave coma 20 cases of death in 17 cases (85%). Conclusion: EEG can be used as a reference index to judge the clinical prognosis of coma patients, flat wave coma and α wave coma are mostly death. Beta coma and spindle coma have a good prognosis.