TY - JOUR T1 -编者注:神经学标准疑似死亡患者的幕下脑损伤:系统回顾和元分析JF - Neurology JO - Neurology SP - 494 LP - 494 DO - 10.1212/WNL.0000000000207090半岛投注体育官网六世- 100 - 10 AU -刘易斯,阿丽亚娜盟——Galetta史蒂文Y1 - 2023/03/07 UR - //www.ebmtp.com/conte半岛投注体育官网nt/100/10/494.1.abstract N2 -在“Infratentorial脑损伤患者疑似神经死亡的标准:系统回顾和荟萃分析,“伯瑞犬等人基于回顾21个研究报告,(1)的患病率Infratentorial脑损伤患者疑似死于神经系统标准(DNC) -16%和2%(2)孤立脑干死亡1% - -4%。Machado指出，4例幕下脑损伤患者最初为分离性脑干死亡，随后发展为全脑死亡。对这些患者的研究被纳入了Briard的综述中。他还评论说，缺氧缺血性脑损伤后，根据临床评估和辅助测试，Jahi McMath被宣布死亡，她的脑桥有病变，根据神经学标准，她没有死亡，因为她没有完全的颅内循环停止。这个案例在文献中已经被广泛讨论，但Briard和Chassé没有对此发表评论。然而，他们同意Machado的观点，需要进一步的研究来了解幕下脑损伤患者DNC的测定。在“神经学标准疑似死亡患者的幕下脑损伤:系统回顾和荟萃分析”中，Briard等人报道，基于21项研究的回顾，(1)神经学标准(DNC)疑似死亡患者幕下脑损伤的患病率为2%-16%，(2)孤立脑干死亡的患病率为1%-4%。Machado指出，4例幕下脑损伤患者最初为分离性脑干死亡，随后发展为全脑死亡。对这些患者的研究被纳入了Briard的综述中。 He also commented that Jahi McMath, who was declared dead by neurologic criteria based on both clinical evaluation and ancillary testing after hypoxic-ischemic brain injury, had a lesion in her pons and was not dead by neurologic criteria because she did not have a complete intracranial circulatory arrest. This case has been discussed extensively in the literature, but Briard and Chassé did not offer comments on it. However, they agree with Machado that additional research is needed to understand the determination of DNC in patients with infratentorial brain injury. ER -