院内卒中33例发病因素及防治分析  

Hospital Stroke Risk Factors and Its Prevention and Treatment:Analysis of 33 Cases

作　　者：汪健[1] 彭勃[1] 席刚明[1] 

机构地区：[1]郧阳医学院附属人民医院神经内科,湖北省十堰市442000

出　　处：《中国全科医学》2010年第14期1496-1498,共3页Chinese General Practice

摘　　要：目的探讨在神经内科诊治的非卒中住院患者发生卒中的可能原因和机制,提高院内卒中的防范意识。方法回顾性分析住院后发生的或转入我科诊治的23例急性脑梗死/脑静脉窦血栓形成和10例脑出血患者的临床资料,就院内卒中发生的可能原因、机制进行分析。结果发生院内缺血性卒中的相关因素主要有:心脏疾病、过度降血压、脑血管介入检查和治疗、妊娠、骨科手术、慢性阻塞性肺疾病并发肺部感染等;引起出血性卒中的相关因素有:溶栓/抗凝/降纤、脑血管介入治疗、脑血管畸形、创伤等。结论院内卒中发病因素多种多样,在入院早期及时全面了解患者的机体状况,及时消除潜在的卒中危险,对预防院内卒中及减少医疗纠纷具有十分重要的意义。Objective To probe into the possible causes and mechanism of stroke in non-stroke inpatients treated in department of neurology to increase the awareness of hospital stroke prevention.Methods A retrospective analysis was carried out on clinical data of 23 with acute cerebral infarction / cerebral venous sinus thrombosis and 10 with cerebral hemorrhage to analyze the possible causes and mechanism of in-hospital stroke occurring.Results The factors related to in-hospital ischemic stroke were heart diseases,excessive decrease of blood pressure,cerebrovascular intervention screening and treatment,pregnancy,orthopedic surgery,chronic obstructive pulmonary disease with lung infections,etc.The factors related to hemorrhagic stroke were：thrombolysis / anticoagulation / fibrinolysis,cerebrovascular intervention treatment,brain vascular malformations,trauma,etc.Conclusion The factors of inhospital stroke are varying.Timely and comprehensive understanding of patients′ body conditions and timely removal of potential stroke risks are of great significance to prevention of inhospital stroke and reduction of medical disputes.

关 键 词：院内卒中 诱因 防治 

分 类 号：R743.3[医药卫生—神经病学与精神病学]