觉醒型进展性卒中九例  

Clinical analysis of wake-up progressive strokes:9 cases report

作　　者：刘卫刚[1] 刘蓉辉[1] 李玲[1] 刘桂芳[1] 董艳红[1] 吕佩源[1] 

机构地区：[1]河北省人民医院神经三科,石家庄050051

出　　处：《脑与神经疾病杂志》2013年第3期168-169,共2页Journal of Brain and Nervous Diseases

摘　　要：目的对觉醒型进展性卒中的临床特点进行分析。方法对9例符合觉醒型进展性卒中定义的患者临床资料包括性别、危险因素、临床表现、影像学特点、治疗及预后进行描述。结果 9例符合觉醒型进展性卒中包括(1)男性5人,女性4人;(2)高血压病8人,2型糖尿病7人;(3)均以偏身肢体无力为主要表现,伴有失语患者2人,伴有偏身麻木3人,伴吞咽障碍2人;(4)MRA示颈内动脉中-重狭窄2人,大脑中动脉中-重度狭窄4人;(5)6例病人于夜间加重并及时调整药物后5例患者预后较好,1例预后差,3例晨起发现加重者,虽进行药物调整,但预后仍较差。结论对可能是觉醒型进展性卒中患者及时发现病情加重并治疗,对改善预后至关重要。Objective To investigate the clinical characteristics of wake - up progressive strokes. Methods The clinical data of 9 cases with wake - up progressive strokes including clinical findings, imaging changed, and treatment et al were analyzed retrospectively. Results 9 cases include ： （ 1 ） 5 male and 4 female ; （ 2 ） 8 hypertension, 7 diabetes mellitus ; （3） The main clinical finding is hemiparalysis ,2 cases with aphasia, 3 cases with hemiancsthesia and 2 with dysphgia; （4） 2 cases with moderate/severe internal carotid artery stenosis, 4 cases with moderate/severe middle cerebral artery stenosis; （4）6 patients were adjusted the drugs timely in night, 5 patients had favourable prognosis, 1 patient had a bad prognosis; 3 patients ,who had progress stroke in night and were found the next day, had bad prognosis. Conclusion If the patients with wake - up progressive strokes are found and treated timely, they shall have favourable prognosis.

关 键 词：觉醒型卒中 进展性卒中 觉醒型进展性卒中 预后 

分 类 号：R745.7[医药卫生—神经病学与精神病学]