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[卒中后动脉高血压的病程及转归]

[Course and outcome of arterial hypertension after stroke].

作者信息

Strumpe V P

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1983;83(1):10-5.

PMID:6829244
Abstract

Clinico-hemodynamic features as well as arterial hypertension outcome in 92 patients with hypertensive disease accompanied by atherosclerosis and atherosclerotic hypertension, who had suffered acute stroke in arteria caroticus interna areas 0.5-19 years before were followed up for 6 years. The minimal number of lethal outcomes fell within the first 3 years after stroke when hyperkinetic circulation was seen in all the patients. The lethality increase caused by repeated strokes (4-5 years after the first stroke was connected with gradual development of cardiac muscle pathology manifested by cardiac rhythm disorders or coronary and cardiac insufficiency in the patients with hypertensive disease in conjunction with atherosclerosis. Regressive course of arterial hypertension occurred in the patients with atherosclerotic hypertension 2 years after stroke. The frequency of repeated strokes did not increase in these patients. The lethality caused by cardiac muscle infarction was not increasing in the post-stroke period.

摘要

对92例患有高血压疾病并伴有动脉粥样硬化和动脉粥样硬化性高血压的患者进行了6年随访,这些患者在0.5至19年前曾在内侧颈动脉硬化区域发生急性中风。死亡病例数最少的时期是中风后的头3年,此时所有患者均出现高动力循环。首次中风后4至5年,由反复中风导致的死亡率增加与心肌病变的逐渐发展有关,表现为高血压疾病合并动脉粥样硬化患者的心律失常或冠状动脉及心脏功能不全。中风后2年,动脉粥样硬化性高血压患者的动脉高血压呈退行性病程。这些患者反复中风的频率并未增加。中风后心肌梗死导致的死亡率并未上升。

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