Norris J W, Hachinski V C
Stroke. 1976 Nov-Dec;7(6):573-7. doi: 10.1161/01.str.7.6.573.
Two hundred eighty patients were admitted to an intensive care stroke unit over a one-year period. Subsequent investigation indicated that only 199 of these patients actually had cerebral ischemic or hemorrhagic lesions, 10 had other cerebrovascular lesions, and the remaining 71 patients had unrelated diseases, predominantly seizures. Detailed analysis of 103 stroke patients revealed an overall incidence of 59% hypertension, and 72% had hypertensive, ischemic or valvular heart disease. Fifty percent of the patients had various cardiac arrhythmias, some of which were responsible for the acute cerebrovascular lesion. Fourteen patients died during the acute phase, 11 from apparently irreversible cerebral selling, mainly due to cerebral hemorrhage. Secondary complications such as pneumonia, pulmonary embolism, pressure sores and urinary infection were almost nonexistent, but beneficial effects on the primary cerebral lesions were more difficult to demonstrate.
在一年时间里，有280名患者被收治进重症监护中风单元。后续调查表明，这些患者中只有199人实际患有脑缺血或出血性病变，10人患有其他脑血管病变，其余71名患者患有无关疾病，主要是癫痫。对103名中风患者的详细分析显示，高血压的总体发病率为59%，72%的患者患有高血压、缺血性或瓣膜性心脏病。50%的患者有各种心律失常，其中一些导致了急性脑血管病变。14名患者在急性期死亡，11人死于明显不可逆转的脑梗死，主要原因是脑出血。肺炎、肺栓塞、压疮和泌尿系统感染等继发性并发症几乎不存在，但对原发性脑病变的有益影响则更难证明。
