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Predicting the course and outcome of unconscious coma and post-coma states (including vegetative state) using blood tests

机译:使用验血预测无意识昏迷和昏迷后状态(包括植物状态)的进程和结果

摘要

The present invention relates to the field of diagnostics in emergency medicine, trauma, intensive care and surgery, and can be used in medical practice. In order to objectively assess a subject's brain status in an unconscious or coma state, assess damage to nerve tissue, and predict the progress of a patient's condition, the present invention provides a method for identifying GluR6 and / or GluR7 in body fluids. It is proposed to measure the level of antibodies against fragments of the KAR receptor. KAR peptide fragments and antibodies thereto show structural damage to the brain and are specifically present only in unconscious patients. In the present invention, the magnitude and kinetics of these changes in antibody levels are used to predict both the recovery of the subject's condition in favorable outcomes and the potential for prolonged vegetative status or fatal outcome. [Selection diagram] FIG.
机译:本发明涉及急诊医学,创伤,重症监护和外科中的诊断领域,并且可以在医学实践中使用。为了客观地评估处于无意识或昏迷状态的受试者的脑部状态,评估对神经组织的损害并预测患者病情的进展,本发明提供了一种用于识别体液中的GluR6和/或GluR7的方法。建议测量针对KAR受体片段的抗体的水平。 KAR肽片段及其抗体显示出对大脑的结构损害,仅在昏迷的患者中特别存在。在本发明中,抗体水平的这些变化的幅度和动力学被用于预测受试者的状况以有利的结果的恢复以及延长的营养状态或致命结果的可能性。 [选择图]

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