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[智利一家神经科中级护理病房的脑血管疾病。对459例连续患者的分析]

[Cerebrovascular disease in a Neurologic Intermediate Care Unit in Chile. Analysis of 459 consecutive patients].

作者信息

Mellado T Patricio, Court L Jaime, Godoy F Jaime, Mery C Victoria, Barnett T Carolina, Andresen H Max, Huete L Isidro, Tevah C José, Tomicic F Vinko, Romero P Carlos, Fadic R Ricardo, Soza M Marco A, Valenzuela M Raúl, Tapia I Jorge

机构信息

Depertamento de Neurología, Hospital Clínico, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Rev Med Chil. 2005 Nov;133(11):1274-84. doi: 10.4067/s0034-98872005001100002. Epub 2005 Dec 29.

DOI:10.4067/s0034-98872005001100002
PMID:16446850
Abstract

BACKGROUND

Stroke is the second cause of mortality and the first cause of morbidity in Chile and worldwide. Nowadays there is a major interest in introducing new therapies applying evidence based medicine for these patients.

AIM

To describe the clinical profile of patients attended after a stroke, to determine stroke subtypes and their risk factors.

MATERIAL AND METHODS

Retrospective review of clinical records of 459 patients (mean age 65+/-48 years, 238 female) that were admitted to our unit during a period of 37 months.

RESULTS

Sixty three percent of patients had an ischemic stroke, 14% had an hemorrhagic stroke, 15% had a transient ischemic attack, 2% had a cerebral venous thrombosis and 6% a subarachnoidal hemorrhage. The global mortality was 1%. Seventy percent of patients had a history of high blood pressure.

CONCLUSIONS

The most common type of stroke is ischemic and high blood pressure is the main risk factor.

摘要

背景

在智利乃至全球,中风是第二大致死原因和第一大致病原因。如今,人们对为这些患者引入基于循证医学的新疗法有着浓厚兴趣。

目的

描述中风后就诊患者的临床特征,确定中风亚型及其危险因素。

材料与方法

回顾性分析在37个月期间入住我们科室的459例患者(平均年龄65±48岁,女性238例)的临床记录。

结果

63%的患者为缺血性中风,14%为出血性中风,15%为短暂性脑缺血发作,2%为脑静脉血栓形成,6%为蛛网膜下腔出血。总体死亡率为1%。70%的患者有高血压病史。

结论

最常见的中风类型是缺血性中风,高血压是主要危险因素。

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Rev Med Chil. 2005 Nov;133(11):1274-84. doi: 10.4067/s0034-98872005001100002. Epub 2005 Dec 29.
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