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等电位脑电图对昏迷病人判定有无大脑死亡具有指导意义。1959年Fischgold,Matis等对于等电位脑电图对昏迷病人的预后判断曾经进行过报道,近三年来国内始见几篇报道。现将我院于1991年8月～12月接诊的三例不同原因引起窒息的等电位脑电图分析如下: 其中一例为男性患者,39岁。因游泳溺水约10分钟被他人救起。当时心跳呼吸停止,经现场抢救约40分钟后送我院急症科。经心肺复苏抢救,血压、心跳、呼吸均恢复,但患者一直处于昏迷状态。于发病后一天作脑电图示:各导联均为波幅10μV、5c/s的0节律。两天后复查脑电图示:各导联均为电静息状态,偶有眼动波。报告脑死亡。再经抢救10天一直深度昏迷,因心跳呼吸骤停经抢救无效而死亡。
Potentiation EEG on coma patients to determine whether there is a brain death guidance. In 1959, Fischgold, Matis et al. Reported the prognosis of unconscious patients by using equipotential EEG. In the past three years, several reports have been reported in China. Now in our hospital in August 1991 to December admissions of three cases of different causes of asphyxiation Eppendorf EEG analysis is as follows: One case of male patients, 39 years old. About 10 minutes because of swimming drowning was rescued by others. At that time the heartbeat stopped, after about 40 minutes on-site rescue sent to our hospital emergency department. Resuscitated by cardiopulmonary resuscitation, blood pressure, heartbeat, respiration were recovered, but the patient has been in a coma. One day after the onset of electroencephalogram (ECG): each lead is amplitude 10μV, 5c / s 0 rhythm. Two days after the review EEG shows: the lead are static state, occasional eye wave. Report brain death. Rescued 10 days and then has been a deep coma, sudden cardiac arrest due to respiratory failure died.