摘要
目的探讨影响大面积脑梗死患者死亡率的有关因素。方法对25例大面积脑梗死死亡和43例非死亡患者的临床资料,包括年龄、性别、脑卒中危险因素(心房纤颤、高血压、糖尿病)以及临床特征[梗死面积、美国国立卫生研究院卒中量表(NIHSS)及格拉斯哥昏迷量表(GCS)评分]和并发症进行比较、分析。结果死亡组的年龄、NIHSS评分显著高于、GCS评分显著低于生存组;有心房纤颤及肺部感染、肾功能不全、病灶面积>MCA分布区的比率亦显著高于生存组(均P<0.05)。结论年龄、心房纤颤、梗死灶面积、病情以及并发肺部感染、肾功能不全是影响大面积脑梗死患者死亡率的主要因素。
Objective To explore the related factors to influence the mortality in massive cerebral infarction patients. Methods The clinical data of 25 non-survivor and 43 survivor patients with massive cerebral infarctions were compared and analyzed. The clinical data included the age, sex, cerebral stroke risk factors（ atrial fibrillation, hypertension, diabetes mellitus） , clinical features [ infarction region, the United States National Institutes of Health Stroke Scale （NIHSS） and Glasgow coma scale（GCS） scores] and complications. Results The age, NIHSS scores in the non-survivor group were significantly higher, GCS scores were significantly lower than those in the survivor group; the rate of arterial fibrillation, pneumonia, renal insufficiency and infarction region 〉 MCA range were significantly higher than those in the survivor group （ all P 〈 0. 05 ）. Conclusion The main factors to influence the mortality of massive cerebral infarction patients are age, arterial fibrillation, infarction region, condition and complicated with pneumonia, renal insufficiency.
出处
《临床神经病学杂志》
CAS
北大核心
2013年第3期216-218,共3页
Journal of Clinical Neurology
关键词
大面积脑梗死
死亡率
影响因素
massive cerebral infraction
mortality
influence factor
