Erokhina L G, Gasparian S A, Pashkina E S, Mazurova L M
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(11):3-6.
The purpose of the work was to analyze the experience with the trial of diagnostic algorithms to specify possibilities of differential diagnosis and forecasting the course or outcome of cerebrovascular diseases. Detailed study of 922 clinico-anatomic cases (547 with hemorrhagic brain stroke, 157 with ischemic, 218 with pseudostroke) enabled revealing differential-diagnostic criteria for the pathological patterns under study bearing in mind disease pathomorphism. Analysis was made of the tabular diagnosis of cerebrovascular pathology and of the experience gained with the trail of diverse diagnostic algorithms for staged diagnosis of brain stroke and pseudostroke, different varieties of cerebral hemorrhages (10 varieties). The results of the use of four algorithms for forecasting hemorrhagic brain stroke were studied and compared. The accuracy of the diagnosis and forecasting amounts from 55 to 82.3% depending on the problem to be solved and the algorithm used. The data show the necessity of the careful providing of the algorithm choice as dependent on the problem raised.
这项工作的目的是分析诊断算法试验的经验，以明确鉴别诊断的可能性，并预测脑血管疾病的病程或结局。对922例临床解剖病例（547例脑出血性脑卒中、157例缺血性脑卒中、218例假卒中）进行的详细研究，考虑到疾病的病理同形性，得以揭示所研究病理类型的鉴别诊断标准。分析了脑血管病理学的表格诊断，以及在对脑卒中、假卒中和不同类型脑出血（10种类型）进行分期诊断的各种诊断算法试验中获得的经验。研究并比较了四种预测脑出血性脑卒中算法的使用结果。根据要解决的问题和所使用的算法，诊断和预测的准确率在55%至82.3%之间。数据表明，有必要根据所提出的问题谨慎选择算法。
