Wimmer S, Auff E, Holzner F, Zeiler K
Wien Klin Wochenschr. 1986 Feb 7;98(3):74-8.
An initial loss of consciousness is of grave prognostic significance in patients with acute ischaemic cerebrovascular disorders, both as regards the early course as well as the long-term prognosis. The aim of this study was to assess the prognostic importance of an initial loss of consciousness in patients who had survived the acute stage. Thus, 133 out of 139 patients suffering from ischaemic cerebrovascular disorders who survived the first 3 weeks after a stroke were clinically re-examined after a mean follow-up period of more than two years. The other 6 patients had died as a result of a second stroke in the post-acute period. Patients with an initial loss of consciousness suffered cerebrovascular disturbances or fatal strokes in the follow-up period slightly more frequently than patients without an initial loss of consciousness. However, there were no convincing differences between the two groups. Indeed, on follow up, patients with an initial loss of consciousness were slightly less socially disabled than patients without an initial loss of consciousness. The results suggest that an initial loss of consciousness is no longer a factor of prognostic importance in patients who have survived the initial stage.
在急性缺血性脑血管疾病患者中，初始意识丧失对早期病程及长期预后均具有严重的预后意义。本研究旨在评估急性期存活患者初始意识丧失的预后重要性。因此，对139例缺血性脑血管疾病患者中在卒中后存活3周的133例患者进行了临床复查，平均随访期超过两年。另外6例患者在急性期后因第二次卒中死亡。初始意识丧失的患者在随访期发生脑血管紊乱或致命性卒中的频率略高于无初始意识丧失的患者。然而，两组之间并无令人信服的差异。实际上，随访时，初始意识丧失的患者社会功能障碍程度略低于无初始意识丧失的患者。结果表明，初始意识丧失在度过急性期存活的患者中不再是一个具有预后重要性的因素。
