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目的:探讨动态脑电图(AEEG)诊断脑死亡的价值。方法:分析临床脑死亡的AEEG监测结果。结果:12例临床脑死亡患者的AEEG表现为Ⅰ级、Ⅱ级、Ⅲ级各1例,Ⅳ级3例,Ⅴ级6例;AEEG脑电活动有由Ⅰ级向Ⅴ级演变趋势,患者AEEG分级越高,患者进入死亡时间越短。结论:对危重患者进行AEEG监测,可早期判断脑死亡,超过30分钟以上的脑电静息是判定脑死亡AEEG指标;结合临床标准与AEEG标准判断脑死亡,更符合法律与人文精神,诊断将更完整准确。
Objective: To investigate the value of dynamic electroencephalogram (AEEG) in the diagnosis of brain death. Methods: Analysis of AEEG monitoring of clinical brain death. Results: The AEEG manifestations of 12 patients with clinical brain death were grade Ⅰ, Ⅱ and Ⅲ, 1 in grade Ⅳ, 6 in grade Ⅴ. The trend of AEEG was from Ⅰ to Ⅴ, and AEEG was graded The higher the patient’s access to death, the shorter the time. Conclusion: AEEG monitoring of critically ill patients can be early to determine brain death, more than 30 minutes of EEG is to determine brain death AEEG indicators; combined with clinical criteria and AEEG criteria to determine brain death, more in line with the law and humanistic spirit, the diagnosis will be more complete and accurate .