摘要
目的探讨格拉斯哥昏迷计分(GCS)和脑干反射(BSR)在原发性脑干损伤病人的预后方面的价值。方法对44例原发性脑干损伤病人伤后至72h内进行GCS评分和BSR监测,分析GCS评分和BSR与病人的预后之间的关系。结果病人GCS评分越低以及出现BSR消失的平面越低,预后越差;死亡者绝大多数GCS评分为3分,BSR消失在Ⅳ ̄Ⅵ平面。结论可用GCS评分和BSR来观察病情、判断预后。
[Objective] To discuss the predictive values of Glasgow coma score (GCS) and brain stem reflects (BSR) in the patients of primary brain stem injury. [Methods] GCS and the BSR were monitored in 44 patients of primary brain stem injury within 72 hours from the beginning, analyzed the relationship of BSR and GCS with prognosis of the patients. [Results] The lower of disappear-level of BSR and GCS, the more severe prognosis of the patients. Most of the death have 3 scores in GCS, BSR disappears on the level of number Ⅳ-Ⅵ. [Conclusion] GCS and BSR were considered to be valuable to the evaluation of severity and prognosis of patients with the primary brain stem injury.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第1期106-108,共3页
China Journal of Modern Medicine
关键词
格拉斯哥昏迷计分
脑干反射
格拉斯哥预后分级
原发性脑干损伤
Glasgow coma score (GCS)
reflex of the brain stem(BSR)
Clasgow outcome score (GOS)
primary brain stem injury