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电击伤致脑损害的临床特点及高压氧治疗的作用

谢秋幼 虞容豪 冉峰屹 楚淑芳 何艳斌 周峰

临床神经病学杂志2013,Vol.26Issue(2):133-135,3.
临床神经病学杂志2013,Vol.26Issue(2):133-135,3.

电击伤致脑损害的临床特点及高压氧治疗的作用

Clinical features of brain damage caused by electrical injury and effects of hyperbaric oxygen therapy

谢秋幼 1虞容豪 1冉峰屹 1楚淑芳 1何艳斌 1周峰1

作者信息

  • 1. 510010 广州军区广州总医院高压氧与神经康复中心昏迷研究组
  • 折叠

摘要

Abstract

Objective To explore the clinical features of brain damage caused by electrical injury and effects of hyperbaric oxygen therapy. Methods Clinical data of 5 patients with brain damage caused by electical injury were analysed retrospectively. Results All of the five patients were injuried by alternating current. The 1 case had traumatic brain injury afer falling down from high place, 4 cases had cardiac arrest and got cardiopulmonary resuscitation. All of them were unconscious. The 2 cases had coma with GCS 5-6 scores, and 3 cases were persitent vegetative slate. In all of them, the levels of alanine aminotransferase, creatine kinase and lactale dehydrogenase were increased. EEG of 4 patients were showed widely slow waves. MRI showed long T2 signal in cortex and subcortical structures in 4 cases; and 1 case normal. Six month later after conventional therapy and hyperbaric oxygenation, 4 cases recoverd conscious with cognitive injury, 1 case was minimally conscious state. Conclusion Unconsciousness caused by electical brain injury is serious, and cognitive injury is common. Hyperbaric oxygen therapy has significant effects on its prognosis.

关键词

电击伤/脑损害/意识障碍/高压氧治疗

Key words

electrical injury/brain damage/unconsciousness/hyperbaric oxygen therapy

分类

医药卫生

引用本文复制引用

谢秋幼,虞容豪,冉峰屹,楚淑芳,何艳斌,周峰..电击伤致脑损害的临床特点及高压氧治疗的作用[J].临床神经病学杂志,2013,26(2):133-135,3.

临床神经病学杂志

OA北大核心CSTPCD

1004-1648

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