脑死亡患者的异常运动

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脑死亡的定义是选择脑干死亡还是全脑死亡,各国之间有不同看法。最近认为,不管脊髓反射的有无,随着各种脑干反射的消失。自动呼吸的消失是必须的。但是在脑死亡的病例中,在无呼吸试验中和最终拔除呼吸器后,出现四肢复杂运动的同时,偶可见自动呼吸样运动,前者称为Lazarus征。Lazarus其人是圣经上记载的耶苏死后第4天复活后的名字。在脑死亡状态下出现这些异常运动,临床上应有一般常识,而且目前判断脑死亡绝对标准中有无呼吸是重点之一。Lazarus征是Ropper1984年首先报告的。不管是否已判断为脑死亡,有时可出现肘部屈曲上举使 Brain death is defined as the choice of brainstem or brain death, there are different views among countries. Recently that, regardless of the presence or absence of spinal reflex, with the disappearance of a variety of brain stem reflex. The disappearance of automatic respiration is a must. However, in the case of brain death, auto-breath-like exercise can be seen even during the non-respiratory test and after the eventual removal of the respirator with complex movements of the extremities, the former being referred to as the Lazarus sign. Lazarus is the name of the biblical Rev. 4 days after the death of Jesus. In the brain death state of these abnormal movements, there should be common sense in clinical practice, and the current judge whether the absolute standard of brain death breathing is one of the key. Lazarus sign is Ropper’s first report of 1984. Regardless of whether it has been judged brain death, elbow flexion may sometimes occur on the lift
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