Næss Halvor, Waje-Andreassen Ulrike, Brøgger Jan, Thomassen Lars
Nevrologisk avdeling, Haukeland universitetssykehus, 5021 Bergen, Norway.
Tidsskr Nor Laegeforen. 2011 May 6;131(8):814-8. doi: 10.4045/tidsskr.10.0024.
Treatment of acute cerebral infarction has greatly improved over the last 15 years. The purpose of this article is to describe patients with acute cerebral infarction admitted to a stroke unit from a geographically well defined population between 2007 and 2009.
All patients were included aged over 15 years with acute cerebral infarction living in a well defined geographical area and admitted to Haukeland University Hospital between August 2007 and October 2009. Risk factors, neurological status, treatment, complications, results of evaluation, and outcome were registered in a stroke database (Bergen Stroke Registry). Data on mortality as of November 2009 were provided by the official population registry.
In total, 553 patients with acute cerebral infarction were included: 260 (47%) females and 293 (53%) men. The mean age was 74.2 years. The incidence of patients admitted with acute cerebral infarction was 105 per 100,000 citizens per year. Thrombolysis was administered to 15%. Duplex sonography of neck vessels disclosed plaques in 68%. Atrial fibrillation was known before admission in 20%. Evaluation disclosed atrial fibrillation in another 12%. Recurrence of cerebral infarction occurred in 1% during the hospital stay. Estimated survival after one year was 82%.
The incidence of acute cerebral infarction in Bergen is low. Systematic evaluation discloses risk factors with therapeutic consequences in many patients.
在过去15年中，急性脑梗死的治疗有了很大改善。本文旨在描述2007年至2009年期间从一个地理区域明确的人群中收治到卒中单元的急性脑梗死患者。
纳入所有年龄超过15岁、居住在地理区域明确且于2007年8月至2009年10月间入住豪克兰大学医院的急性脑梗死患者。危险因素、神经状态、治疗、并发症、评估结果及预后在卒中数据库（卑尔根卒中登记处）中进行记录。截至2009年11月的死亡率数据由官方人口登记处提供。
总共纳入553例急性脑梗死患者：女性260例（47%），男性293例（53%）。平均年龄为74.2岁。急性脑梗死患者的年发病率为每10万居民105例。15%的患者接受了溶栓治疗。颈部血管双功超声检查发现68%的患者有斑块。入院前已知心房颤动的患者占20%。评估又发现12%的患者有心房颤动。住院期间脑梗死复发率为1%。估计一年后的生存率为82%。
卑尔根急性脑梗死的发病率较低。系统评估可发现许多患者中具有治疗意义的危险因素。
