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报告24h动态脑电图(AEEG)监测210例颅脑损伤病人脑电活动,其异常率为85.2%,略高于文献报道的脑电图及脑电地形图的异常率。其中临床诊断为外伤性癫痫的30例病人AEEG均异常,25例有痫样放电(12例出现于睡眠中)。因此,AEEG的昼夜记录对提高癫痫诊断的阳性率价值很大。108例CT异常的病例中,104例AEEG有异常,其阳性一致率为96.3%;45例CT正常中,30例AEEG有异常,占66.7%。所以,CT与AEEG在颅脑外伤诊断中各有所长,不能相互取代。
Reported 24 h dynamic electroencephalogram (AEEG) monitoring of 210 patients with brain injury in patients with brain electrical activity, the abnormal rate was 85.2%, slightly higher than the reported EEG and EEG abnormal rate. The AEEG of 30 patients clinically diagnosed as traumatic epilepsy were abnormal, and 25 patients had epileptiform discharges (12 in sleep). Therefore, diurnal recording of AEEG is of great value in raising the positive rate of diagnosis of epilepsy. In 108 CT abnormal cases, 104 cases of AEEG were abnormal, and the positive rate was 96.3%. Among 45 cases of CT normal, 30 cases had abnormal AEEG, accounting for 66.7%. Therefore, CT and AEEG have their own strengths in the diagnosis of traumatic brain injury, can not replace each other.