脑梗死急性卒中治疗试验160例病因分型研究

The etiology study of TOAST classification in 160 cases of cerebral infarction

目的探讨脑梗死急性期急性卒中治疗试验(TOAST)病因分型的意义。方法选择我院2012年1月至2013年10月收治的160例脑梗死急性期患者进行TOAST分型,同时按梗死面积进行分型,比较两种分型的相关性。结果大动脉粥样硬化型脑梗死(LAA)多数表现为腔隙性脑梗死,其他明确病因型(SOE)及不明病因型卒中(SUE)多数表现为小面积脑梗死,而心源性栓塞型(CE)全部表现为大面积脑梗死,且病死率高达30.4%。结论脑梗死患者TOAST分型与脑梗死面积对应性良好,能够通过TOAST分型初步推断脑梗死面积及病死率,具有较高的可信度。

Objective To discuss the significance of TOAST in the acute cerebral infarction.Methods We analyzed the clinical data of 160 patients with acute cerebral infarction.All of the patients are hospitalized patients in the department of neurology of Taiyuan City Center Hospital from January 2012 to October 2013.We use both TOAST and infarction area to pattern all of the patients and explore the possible correlation between those two types.Results The results showed that most of LAA are lacunar cerebral infarction,and most of SOE and SUE are small area of cerebral infarction.Meanwhile,all of the CE is massive cerebral infarction and the mortality rate is 30.4%.Conclusion The TOAST classification is fine parallelism with cerebral infarction.We can initial assess-ment the area of cerebral infarction and the mortality of stroke by TOAST classification.Therefore the TOAST classification is high credibility.