论文部分内容阅读
目的:探讨急性脑卒中早期(72小时内)死亡的主要相关危险因素,降低早期死亡率。方法:收集我院2004年1月至2012年12月经急诊科抢救诊断为急性脑卒中的242例病患,根据纳入标准,分为死亡组和对照组,采用回顾性对照分析方法,对相关数据进行统计分析。结果:急性脑卒中患者发生72 h内死亡的影响因素显示中风类型、年龄、高血压病史、心脏病病史、脉搏、呼吸、合并症、中线移位、意识状态、GCS评分、WBC、C反应蛋白、PT、APTT活化部分凝血酶时间、D-II聚体、LDL、LDH、CK、CK-MB、血糖、BUN、Cr均与72 h内死亡密切相关。中风类型、年龄、合并症、GCS评分、WBC、C反应蛋白、LDL、血糖是引起脑卒中发病72 h内死亡的独立危险因素。结论:中风类型、年龄、合并症、GCS评分、WBC、C反应蛋白、LDL和血糖是脑卒中发病早期死亡的独立危险因素,临床应予充分重视。
OBJECTIVE: To investigate the major risk factors associated with early (within 72 hours) acute stroke death and to reduce early mortality. Methods: A total of 242 patients who were diagnosed as acute stroke by emergency department during January 2004 to December 2012 in our hospital were divided into death group and control group according to inclusion criteria. Retrospective comparative analysis conduct statistical analysis. Results: The influencing factors of death within 72 h in patients with acute stroke showed that stroke type, age, history of hypertension, history of heart disease, pulse, respiration, comorbidities, midline shift, state of consciousness, GCS score, WBC, C-reactive protein PT, APTT activation partial thrombin time, D-II aggregates, LDL, LDH, CK, CK-MB, blood glucose, BUN and Cr were all closely related to death within 72 h. Stroke type, age, comorbidities, GCS score, WBC, C-reactive protein, LDL, and blood glucose were independent risk factors for death within 72 h after onset of stroke. CONCLUSIONS: Stroke type, age, comorbidity, GCS score, WBC, C-reactive protein, LDL, and blood glucose are independent risk factors for early death in stroke and should be given adequate attention in clinic.