Dávalos Errando A
Sección de Neurologia, Hospital de Girona Doctor Josep Trueta, Girona.
Neurologia. 1995 Dec;10 Suppl 2:8-15.
Acute stroke should be assessed by a specialist on an emergency basis. This article reviews the ability of clinical data and the results of diagnostic tests performed within 6 hours of onset to predict short-term prognosis, neurological deterioration, hemorrhagic transformation of the infarct and cerebral edema. Scores on neurological deficit scales, early signs of infarct on cranial computerized tomography, biochemical parameters such as glycemia, and the characteristics of vascular occlusion on Doppler ultrasonography or angiography are good predictors of acute phase complications and can be used to help identify patients that might benefit from new stroke therapies.
急性中风应由专科医生进行紧急评估。本文回顾了临床数据以及发病6小时内所做诊断测试结果预测短期预后、神经功能恶化、梗死灶出血转化和脑水肿的能力。神经功能缺损量表评分、头颅计算机断层扫描显示的早期梗死迹象、血糖等生化参数以及多普勒超声或血管造影显示的血管闭塞特征都是急性期并发症的良好预测指标，可用于帮助识别可能从新的中风治疗中获益的患者。
