急性脑卒中129例临床病因分析

Causes Analysis of 129 Cases Acute Stroke Clinical

目的:针对急性脑卒中临床特点及其发病原因进行探讨。方法:回顾性分析我院2008～2011年神经内科收治的129例急性脑卒中患者临床资料进行回顾性分析;其中55例患者除一般处理外行脱水、降颅压、止血、降压、激素及神经细胞活化剂等内科保守治疗;74例患者进行开颅血肿清除、钻孔扩大骨窗血肿清除,其中部分患者在CT引导下进行椎颅穿刺血肿吸除或脑外引流。结果:诱因中,高血压、动脉硬化成为主导诱因,另吸烟饮酒等刺激称为发病一大推动因素;93.4%的出血性卒中患者主要以动态发病为主,90.4%的缺血性卒中主要以静态发病为主。结论:急性脑卒中患者根据其自身特点针对高血压、糖尿病、动脉硬化及心脏病等积极进行治疗,并配合卒中内外科连同高压氧辅助治疗可对患者病情具有积极防御意义;同时应注意烟酒刺激对病情的推动作用。

Objective：Clinical features of acute stroke and its pathogenesis are discussed.Methods：A retrospective analysis 2008～2011.Department of Neurology in our hospital treated 129 patients with acute stroke were retrospectively analyzed clinical data,of which 55 patients were amateurs in addition to general processing dehydration,reduce intracranial pressure,bleeding,blood pressurc,hormones and neuralconservative treatment cell activation agent;74 patients were hematoma evacuation.drilling bone window hematoma expansion,some of which were carried out in the CT-guided biopsy of vertebral cranial or cerebral hematoma outside the suction drainagc.Results：The incentive of high blood pressure,atherosclerosis,become the dominant incentive for the other incidence of smoking,drinking,such as stimulating as a major driving factor：93.4%of hemorrhagic stroke patients based mainly on the dynamic incidence,90.4%of ischemic stroke mainly staticdisease-based.Conclusion：Acute stroke patients according to their own characteristics for high blood prcssure,diatetes（？）therosclerosis and heart active treatment,and with the stroke with hyperbaric oxygen and surgical treatment can have a positive defense of the significance of patient＇s condition;also should pay attention to alcohol and tobaccosrimulating role in promoting the disease.