《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (2): 113-114.

• 论文 • 上一篇    下一篇

不同意识状态下大面积脑梗死患者临床情况分析

鲍瑞雪1,2，马欣3，贾建平3，张通1,2   

  1. 1.中国康复研究中心北京博爱医院急诊科，北京市 100068；2.首都医科大学康复医学院，北京市 100068；3. 首都医科大学宣武医院神经内科，北京市 100053。
  • 收稿日期:2009-08-04 修回日期:2009-12-09 出版日期:2010-02-25 发布日期:2010-02-25
  • 通讯作者: 马欣

Analysis of Clinical Features of Massive Cerebral Infarction with Different Concious States

BAO Rui-xue, MA Xin, JIA Jian-ping, et al.   

  1. Department of Emergency, Beijing Charity Hospital, China Rehabilitation Research Center, Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2009-08-04 Revised:2009-12-09 Published:2010-02-25 Online:2010-02-25

PDF (PC)

被引次数

5

摘要： 目的分析不同意识状态大面积脑梗死患者临床相关情况的差别。方法选择符合大面积脑梗死诊断标准，梗死范围符合大脑中动脉或颈内动脉供血区的急性脑梗死患者。记录患者一般情况：性别、年龄、既往史、入院时意识状况、梗死灶位置、入院后血压、心率、体温、并发症、入院检查时的白细胞、血糖、血脂及电解质情况。将患者按意识状况分为无意识障碍组和有意识障碍组。结果有意识障碍组较无意识障碍组有高脂血症和糖尿病史的患者多。有意识障碍组并发症增加，心率偏快。结论长期血糖、血脂异常对大面积脑梗死患者的意识状态有影响。

关键词: 大面积脑梗死, 意识状况

Abstract: ObjectiveTo explore the difference on clinical features of massive cerebral infarction with different concious states.MethodsPatients diagnosed as massive cerebral infarction of middle cerebral vascular or internal carotid artery were divided into group without conscious disorder and group with conscious disorder according to concious state. Their gender, age, past disease history, conscious state, location of ischemic area, blood pressure, heart rate, temperature, complications, white blood cell, blood glucose, lipemia, and electrolyte were recorded.ResultsThere are more hyperlipemia and diabetes, more complications and fast heart rate in the group with conscious disorder.ConclusionAbnormity of blood glucose and lipemia for a long time may affect the concious state of massive cerebral infarction patients.

Key words: massive cerebral infarction, consciousness