Chotmongkol Verajit, Limpawattana Panita, Chimsuk Ubonwan
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Southeast Asian J Trop Med Public Health. 2006 Nov;37(6):1209-12.
We retrospectively studied the functional outcomes and recurrence rates of patients 15 years and older in whom cardiogenic cerebral embolism was diagnosed at Srinagarind Hospital, Khon Kaen, Thailand, during the period of 1993-2002. Ninety patients were included in this study. Ages ranged from 16-80 years (mean 48.3 years). The majority of cardiac abnormalities were rheumatic heart diseases (with or without atrial fibrillation) and nonvulvular atrial fibrillation. At 3 months and 1 year after stroke, improvement in functional outcome (measured by RDS, motor strength, and GCS) were 74.4% and 55.6%, mortality rates of 13.3% and 16.7%; and recurrence rates of 8.9% and 16.7%, respectively. A GCS < 9 or motor power < or = 1 or RDS > or = 4 upon presentation were poor prognostic factors.
我们回顾性研究了1993年至2002年期间在泰国孔敬府诗里拉吉医院被诊断为心源性脑栓塞的15岁及以上患者的功能转归和复发率。本研究纳入了90例患者。年龄范围为16至80岁（平均48.3岁）。大多数心脏异常为风湿性心脏病（伴或不伴心房颤动）和非瓣膜性心房颤动。在卒中后3个月和1年时，功能转归改善（通过RDS、肌力和GCS测量）分别为74.4%和55.6%，死亡率分别为13.3%和16.7%；复发率分别为8.9%和16.7%。就诊时GCS＜9或运动力量≤1或RDS≥4是不良预后因素。
