Yamashiro S, Oda Y, Kanegae S, Shirahama M, Yoshihara K, Fukui T, Sakihara E, Nakamoto M
Department of General Medicine, Saga Medical School.
Fukuoka Igaku Zasshi. 1994 Dec;85(12):353-60.
Final diagnoses were determined among 175 emergency patients with disturbed consciousness with a Glasgow Coma Scale (GCS) of less than 15 and diagnostic usefulness of basic information was assessed using clinico-epidemiological indices. Subject patients included 98 males and 77 females with average age 53.4 years. Final diagnoses were as follows: intracranial lesions in 69 patients (39.4%), metabolic and systemic diseases in 97 (55.4%), mental diseases in 4 (2.3%), and diseases of unknown origin in 5 (2.9%). Cerebrovascular disorders and epilepsy were most frequent among the intracranial lesions, and poisoning, hypoglycemia, acute alcoholism and hypoxic encephalopathy among the metabolic and systemic diseases. Informative usefulness of age, sex and vital sings in diagnosing cerebrovascular disorders was analyzed with the use of ROC curves, showing that cut-off points of age over 60 years and of systolic blood pressure greater than 160 mmHg were most useful.
对175例格拉斯哥昏迷量表（GCS）评分低于15分的意识障碍急诊患者确定了最终诊断，并使用临床流行病学指标评估了基本信息的诊断价值。受试患者包括98名男性和77名女性，平均年龄53.4岁。最终诊断如下：颅内病变69例（39.4%），代谢及全身性疾病97例（55.4%），精神疾病4例（2.3%），病因不明疾病5例（2.9%）。颅内病变中脑血管疾病和癫痫最为常见，代谢及全身性疾病中中毒、低血糖、急性酒精中毒和缺氧性脑病最为常见。利用ROC曲线分析了年龄、性别和生命体征在诊断脑血管疾病中的信息价值，结果显示年龄大于60岁和收缩压大于160 mmHg的截断点最具诊断价值。
