41例进展性缺血性脑卒中临床分析

Clinical analysis of 41 cases of ischemic stroke in progression

目的探讨进展性缺血性脑卒中发病的相关因素。方法回顾性分析41例进展性缺血性脑卒中(SIP)与同期127例对照的非进展性缺血性脑卒中的临床资料。结果 SIP患者伴随高血压、高血脂、糖尿病、高白细胞血症、发热及Na^+-K^+平衡紊乱等病情的比例明显高于对照组(P<0.05);SIP患者颈动脉狭窄、粥样硬化及斑块形成的比例明显高于对照组(P<0.05);SIP患者出现大脑中动脉大面积梗死及分水岭梗死的比例明显高于对照组(P<0.05);SIP患者的预后较对照组差(P<0.05)。结论进展性缺血性脑卒中在多种基础疾病的基础上发生,影像学改变提示好发部位,预后不佳。

Objective To explore the factors to ischemic stroke in progression. Methods 41 cases of ischemic stroke in progression and 127 cases of non progressive ischemic stroke were analysised retrospectively. Results More cases of SIP associated with hypertension, hyperlipemia,diabetes,leukocytosis, fever and electrolyte imbalance than that of controls （ P 〈 0.05） ; more cases of SIP associated with stenosis ,scleratheroma and plaque of cartotid artery than that of controls（ P 〈 0.05 ） ; more cases of SiP associated with infarction of middle cerebral artery and watershed infarction than that of controls ; （ P 〈 0.05 ） ; and patients of SIP have deteriorate clinical consequences than controls （ P 〈 0.05 ）. Conclusion Ischemic stroke in progression, correlated with lots of risk factors ,characteristic imagine features ,and badness outcome.