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进展性脑梗塞临床约占20％～40％,发生机制尚不清楚,多数观点认为是脑缺血本身的自然进展。我院1992～1996年共收住该病患者29例,现将其相关因素分析报告如下。 1.资料与方法 1.一般资料 我院1992～1996年共收治符合以下条件的脑梗塞86例:(1)发病<6小时;(2)首次发生脑血管病;(3)CT或MRI确诊,剔除腔隙梗塞和出血性梗塞;(4)入院时未昏迷,瘫痪不完全。其中男61例,女25例,年龄42～78岁,平均65岁。 2.评定方法 神经功能缺损程度评定参照加拿大神经功能缺损评分量表,由不了解相关因素的专科医师分别于入院当日、第2、3、5、7、10、14日进行。入院2周内神经功能缺损评分降低程度≥1分者作为进展性脑梗塞组,<1分者作为非进展性脑梗塞组。
Progressive cerebral infarction clinical accounts for about 20% to 40%, the mechanism is not yet clear, most of the view that the natural progress of cerebral ischemia itself. Our hospital from 1992 to 1996, received a total of 29 patients with the disease, the relevant factors are now analyzed as follows. 1. Materials and Methods 1. General Information Our hospital from 1992 to 1996 were treated 86 cases of cerebral infarction meet the following conditions: (1) the onset of <6 hours; (2) the first occurrence of cerebrovascular disease; (3) CT or MRI diagnosis , Excluding lacunar infarction and hemorrhagic infarction; (4) admission without coma, paralysis is not complete. Including 61 males and 25 females, aged 42 to 78 years, mean 65 years. 2. Evaluation methods Evaluation of the degree of neurological deficit with reference to the Canadian neurological deficit rating scale by the specialist did not understand the relevant factors were on admission day, 2, 3, 5, 7, 10, 14 days. Within 2 weeks after admission, the degree of neurological deficit score decreased by more than 1 points as progressive cerebral infarction group, <1 point as non-progressing cerebral infarction group.