Papke J, Radke E U
Inneren Abteilung, Kreiskrankenhauses Sebnitz.
Z Gesamte Inn Med. 1988 Oct 15;43(20):577-80.
The authors take position to distribution of age, sex and stadium, risk factors and therapeutic possibilities in 85 patients with cerebrovascular disease under 65 years. 80 percent have had hypertension, 34 percent diabetes and 15 percent had overweight. Ischemic forms of CVI prevailed with 62 percent. Within the stadia the age distribution is equal. In Stadium II and III mortality is small independent of age. The therapeutic success seems to be independent of therapeutic program. In stadium IV an oncoosmotic and brain metabolism promoting program seems to be superior to an only oncoosmotic acting. An ordered therapy-program after CVI-stadia is proposed.
作者对85例65岁以下脑血管疾病患者的年龄、性别、病情分期、危险因素及治疗可能性进行了分析。80%的患者患有高血压，34%患有糖尿病，15%超重。缺血性脑血管病占62%。各病情分期内年龄分布均衡。在Ⅱ期和Ⅲ期，死亡率与年龄无关且较低。治疗效果似乎与治疗方案无关。在Ⅳ期，采用渗透性脱水及促进脑代谢的方案似乎优于单纯的渗透性脱水治疗。本文提出了一种基于脑血管病病情分期的有序治疗方案。
