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急性脑血管病的远期预后和危险因素研究(附80例长期家访观察)

RESEARCH ON THE FORWARD PROGNOSIS AND THE RISK FACTORS OF THE ACUTE CEREBRAL VASCULAR DISEASE ——A LONG-TERM FOLLOW-UP STUDY OF 80 CASES

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【作者】 郑荣远; 林正章; 王小同; 王旭华;

【Author】 Zheng Rongyuan, et al (Department of Neurological Medicine, The First Affiliated Hospital)

【机构】 温州医学院附属第一医院神经内科; 温州医学院附属第一医院神经内科;

【摘要】 本文通过80例中风居民的长期家访,对中风远期预后的某些规律作了探讨。结果总病死率29%,再发率34%,中风再发病死率67%,中风远期再发危险期为5年,死亡危险期为10年,脑出血再发机会多。认为发病年龄大,病前肥胖体型,急性期功能康复等级为Ⅰ、Ⅱ、Ⅳ级者,脑出血,中风再发和存活期不满10年等是中风远期预后的危险因素。

【Abstract】 Certain rules of the forward prognosis in stroke were discussed through a long-term follow-up study of 80 residents of stroke. The results indicate that the total mortality in stroke is 29%, the recurrence rate is 34% and the recurrence mortality is 67%. The risk time for both further stroke and death is 5 years and 10 years respectively, the recurrence of the cerebral haemorrhage being much more frequent than that of others. It is believed that the risk factors influencing the forward prognosis of stroke are older age for the initial stroke, obesity figure before stroke, the grade Ⅰ,Ⅲ, Ⅳ of functional rehabilitation in acute stage, the survival time of less than 10 years, cerebral haemorrhage of the types in the initial and recurrent stroke.

  • 【文献出处】 温州医学院学报 ,Journal of Wenzhou Medical College , 编辑部邮箱 ,1988年03期
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