原发心源性栓子致脑梗塞144例临床分析(2)
 |
| 第1页 |
参见附件(2174KB，3页)。
CCE患者预后较差,病死率较高。Vemmos等[5]研究显示,CCE院内病死率为15.2%。对本组144例患者发病后随访3个月发现,病死率达20.8%(30/144),生活依赖者(BI<60)占34.72%(50/144)。颈内动脉系统受累的患者较椎一基底动脉系统受累的患者预后更差。Bamford等[6]对脑卒中死因分析表明,第1周死亡原因多为脑的直接损害,随后几周则是主要由于长期卧床的合并症,这与我们的研究结果接近。CCE做为一种可预防性较强的脑血管疾病,积极防治原发性心脏病,减少CCE的发病率,具有重要意义。
参考文献
[1]WHO special report. Stroke: recommendations on stmke Dreven. Tion, diagnosis and therapy[J]. Stroke, 1989,20:1407-1431.
[2]Adams HP Jr, Bendixen BH. Kappelle LJ, et al. Classification of subtype of acute ischemic stroke. Definition for use in a multi. Center clinical trial TOAST Trialof Org 10 172 in Acute Stroke Treatment[J]. Stroke, 1993, 24:35-41.
[3]Li-Saw-Hee FL, Blann AD. Lip GY. A cross-sectional and diurnal. T “ dY OI thrombogenesis among patients with chronic atril fibfiUa-tion[J]. J Am Coil Cardiol, 2000, 35:1926-1931.
[4]J Jorgensen L, Torvik A. Isehemic eerebrovascular disease in all au. Topsy series[J].J Neurol Sci, 1966.3:490-509.
[5]Vemmos Kn Takis CE, Georgilis K, et al.The athens stroke regis. Try: results of a five, year hospital, based slllly[J].Cere~ovasc Dis, 2000, 10(2):133.
[6]Bamford J, Dennis M, Sandereock P, etal. The frequency, causes and timing of death within 30 days of a first stroke. The Oxford-shire Community Stroke Project[J].Journal of Neumlogy Neum. Surgery and Psychiatry, 1990, 53:824-829.
您现在查看是摘要介绍页，详见PDF附件(2174KB，3页)。