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后循环脑梗死的临床特点及预后分析

发布时间:2018-06-10 02:51

  本文选题:后循环脑梗死 + 临床特点 ; 参考:《临床医药文献电子杂志》2017年63期


【摘要】:目的分析后循环脑梗死的临床特点及预后情况。方法选择2016年2月~2017年2月于我院就诊的后循环脑梗死患者50例,回顾性的分析其临床资料,对患者的临床具体表现和危险因素进行重点分析。结果患者临床症状集中表现为肢体乏力、言语不清和头晕;全部危险因素中,最为常见的为高血压;患者预后良好率、不良率和死亡率分别为76.00%、24.00%和6.00%(3/50);治疗入院时和住院时NIHSS评分比较,差异有统计学意义(P0.05)。结论后循环脑梗死的临床特点以肢体乏力和言语不清为主,致病因素主要与高血压有关,预后不良的独立因素当属高NIHSS评分和后循环远端血管受累。
[Abstract]:Objective to analyze the clinical features and prognosis of posterior circulation cerebral infarction. Methods 50 patients with posterior circulatory cerebral infarction from February 2016 to February 2017 were selected and their clinical data were analyzed retrospectively. The clinical manifestations and risk factors of the patients were analyzed emphatically. Results the clinical symptoms of the patients were mainly limb fatigue, indistinct speech and dizziness. Among all the risk factors, hypertension was the most common risk factor. The rate of failure and mortality were 76.00% and 6.00%, respectively, and the NIHSS scores at admission and hospitalization were significantly different (P 0.05). Conclusion the main clinical features of posterior circulation cerebral infarction are limb fatigue and unclear speech. The main pathogenic factors are hypertension. The independent factors of poor prognosis are high NIHSS score and involvement of distal vessels of posterior circulation.
【作者单位】: 大同市第五人民医院;
【分类号】:R743.3

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