摘要
脑梗死发病后容易发生并发症,其发生率28%～95%。并发症的出现可导致死亡或功能恢复差等不良后果,脑梗死的死亡有54%与内科并发症有关,多数出现在发病后第一周,病情严重程度是并发症出现最重要的因素。常见的严重内科并发症有肺部或尿路感染、深静脉血栓形成、肺栓塞、心脏病变、胃肠道出血、高血糖和褥疮,跌倒、肩痛和抑郁也常见。大部分内科并发症在某种程度上是可防治的。因此,应尽早予以正确的防治措施,预防、尽早识别和治疗可以改善脑梗死的短期和长期预后。
Summary： Complications that follow ischemic stroke are common,frequency ranging from 28% to 95%. It may either directly lead to death or prevent optimal recovery. 54% of deaths after ischemic stroke are attributed to medical complications. Most complications occur during the first week, and stroke severity is the most important risk factor. The common serious medical complications are chest or urinary tract infection, deep venous thrombosis, pulmonary embolism, cardiac events, gastrointestinal bleeding, hyperglycemia, pressure sores. Falls, shoulder pain and depression are also common eomplications. Most of medical complications are preventable or treatable to some extent if recognized, so preventive strategies and appropriate treatment should be employed as early as possible. Prevention, early recognition, and management complications could improve short-term and long-term prognoses after ischemic stroke.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2009年第11期988-991,共4页
Chinese Journal of Practical Internal Medicine
关键词
卒中
并发症
感染
stroke
complications
infection
