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[萨尔瓦多市脑血管意外的流行病学:临床方面]

[Epidemiology of cerebrovascular accidents in the city of Salvador: clinical aspects].

作者信息

Lessa I

出版信息

Arq Neuropsiquiatr. 1985 Jun;43(2):133-9. doi: 10.1590/s0004-282x1985000200002.

Abstract

The major clinical findings of acute cerebrovascular accidents (CVA) were analyzed for 1089 patients from Salvador City (Bahia, Brazil) who attended to medical services from 1 July 1979 to 30 June 1980. Data were collected from all hospitals and emergency services, from private and public sectors, which admitted patients with CVA. Hemiplegies and speech disturbances were the most commonly observed findings in both sexes. In 167 patients (23.03%) a reference to an early episode of CVA was found; 34.93% of the patients were in coma at the time of admission and the lethality rate in this group was 80.87%. The quality of the medical attention provided to these patients was commented. A better organization of the services for tertiary prevention is needed in order to improve patient's adhesion and quality of life.

摘要

对1979年7月1日至1980年6月30日期间在巴西巴伊亚州萨尔瓦多市接受医疗服务的1089例急性脑血管意外(CVA)患者的主要临床发现进行了分析。数据收集自所有收治CVA患者的公私部门医院及急救服务机构。偏瘫和言语障碍是两性中最常见的发现。在167例患者(23.03%)中发现有早期CVA发作史;34.93%的患者入院时处于昏迷状态,该组的致死率为80.87%。对给予这些患者的医疗护理质量进行了评价。为了提高患者的依从性和生活质量,需要更好地组织三级预防服务。

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