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[脑血管疾病危险因素的频率及其对病程和结局的影响。对423例住院患者的研究]

[Frequency of risk factors in cerebrovascular disease and their effect on the course and outcome. Study on 423 hospitalized patients].

作者信息

Cognazzo A, Grasso E, Gerbino Promis P C, Zagnoni P

出版信息

Minerva Med. 1981 Nov 10;72(44):2929-34.

PMID:7301171
Abstract

In a group of 423 patients with cerebrovascular accident (CVA) the so-called risk factors have been studied and correlated with course and outcome of the disease. High levels of glycemia, seric lipids and uric acids, high blood pressure and cardiopathy are the most often observed abnormalities, but age is anyhow strictly correlated with the frequency of the disease and in old patients with diabetes bad outcome of the cerebrovascular accident is to be expected. The EEG, often a valid tool to evaluate the gravity of the cerebral lesion, can give clear information about the prognosis: bioelectrical signs of diffuse suffering of the brain are supporting a bad prognosis. The nature (ischaemic and haemorrhagic) of the CVA remains the most important factor influencing the course of the disease and death is very predictable in haemorrhagic accidents of diabetic patients.

摘要

在一组423例脑血管意外(CVA)患者中,对所谓的危险因素进行了研究,并将其与疾病的病程和转归相关联。高血糖、血脂和尿酸水平、高血压和心脏病是最常观察到的异常情况,但年龄无论如何都与疾病的发生率密切相关,并且在老年糖尿病患者中,脑血管意外的不良转归是可以预期的。脑电图(EEG)通常是评估脑损伤严重程度的有效工具,它可以提供有关预后的明确信息:大脑弥漫性受损的生物电信号提示预后不良。CVA的性质(缺血性和出血性)仍然是影响疾病病程的最重要因素,糖尿病患者出血性意外的死亡率是非常可预测的。

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