[急性缺血性卒中的TOAST分型]
[TOAST subtyping of acute ischemic stroke].
作者信息
Zhou Heng, Wang Yong-jun, Wang Su-xiang, Zhao Xing-quan
机构信息
Department of Neurology, Beijing Tiantan Hospital Capital University of Medical Sciences, Beijing 100050, China.
出版信息
Zhonghua Nei Ke Za Zhi. 2004 Jul;43(7):495-8.
OBJECTIVE
To determine the etiological characteristics of ischemic stroke in Chinese people on the basis of Trial of Org 10 172 in Acute Stroke Treatment (TOAST) criteria.
METHODS
300 patients with ischemic stroke were recruited into this study. Ischemic stroke was classified into five subtypes based on clinical manifestations, MRI, MRA and DSA.
RESULTS
Of all the ischemic stroke patients, 12.3%, 40.0%, 31.3%, 5.0%, and 11.4% were classified as cardio embolism, large-artery atherosclerotic, lacunare, of other demonstrated etiology and of undetermined etiology.
CONCLUSIONS
The statistical comparison between male and female of each subtype is not significant. The relative incidence of large-artery atherosclerosis in Chinese patients is higher than that of all the other four subtypes.
目的
基于急性卒中治疗中奥扎格雷10172试验（TOAST）标准，确定中国人群缺血性卒中的病因学特征。
方法
300例缺血性卒中患者纳入本研究。根据临床表现、MRI、MRA和DSA将缺血性卒中分为五个亚型。
结果
在所有缺血性卒中患者中，12.3%、40.0%、31.3%、5.0%和11.4%被分类为心源性栓塞、大动脉粥样硬化、腔隙性、其他明确病因和病因不明。
结论
各亚型的男性和女性之间的统计学比较无显著性差异。中国患者中大动脉粥样硬化的相对发病率高于其他四种亚型。
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