《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (03): 212-214.

• 专题 脑梗死康复 • 上一篇    下一篇

急性缺血性卒中超早期不同梗死部位分型的临床特征及预后

廖晓凌; 王伊龙; 王拥军; 薛静; 高培毅   

  1. 首都医科大学附属北京天坛医院神经内科,北京市 100050
  • 收稿日期:2006-09-22 出版日期:2007-03-01 发布日期:2007-03-01

Clinical Features and Prognosis of Acute Ischemic Stroke Patients with Different Infarction Patterns

LIAO Xiao-ling, WANG Yi-long, WANG Yong-jun, et al   

  1. Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2006-09-22 Published:2007-03-01 Online:2007-03-01

PDF (PC)

被引次数

17

摘要： 目的研究急性缺血性卒中超早期不同梗死部位分型的临床特征及预后。方法选择发病后6h内完成核磁弥散成像(DWI)的大脑中动脉供血区脑梗死患者87例,根据DWI异常表现分为6型,核磁检查前及发病24h后评估美国国立卫生研究院卒中量表(NIHSS)评分,3月后随访改良的Ranking量表(mRS)评分。结果不同梗死部位分型组间,基线NIHSS评分、梗死体积、病变侧颈内或大脑中动脉的闭塞情况及临床结局均有显著性差异(P<0.05)。结论急性缺血性卒中超早期不同梗死部位分型同临床症状、血管状况及临床结局都存在密切关系,有助于指导临床治疗及判断预后。

关键词: 急性缺血性卒中, 磁共振弥散成像, 预后

Abstract: Objective To investigate the clinical features and prognosis of acute ischemic stroke patients with different infarction patterns.Methods87 patients who underwent diffusion weighted imaging (DWI) within 6 h after symptom onset and visualized acute cerebral infarcts within the middle cerebral artery territory were prospectively studied.According to DWI lesion patterns,the patients were divided into 6 groups.Before MR was performed and 24 h after onset,scores of National Institutes of Health Stroke Scale (NIHSS) were recorded.3 months after onset,scores of modified Ranking scale(mRS) were obtained.ResultsThe baseline NIHSS,infarction volume,occlusion of relevant internal carotid artery or middle cerebral artery and clinical outcome were significantly different among 6 groups(P<0.05).ConclusionDifferent infarction patterns of acute ischemic stroke were associated with clinical symptoms,vascular status,and clinical outcome,that may help to guide treatment and judge prognosis.

Key words: acute ischemic stroke, diffusion weighted imaging, prognosis