Intensive care management of stroke patients.

作者: J W Norris , V C Hachinski

DOI: 10.1161/01.STR.7.6.573

关键词: Incidence (epidemiology)Internal medicineStrokeSurgeryIntensive carevalvular heart diseasePulmonary embolismIntensive care managementStroke patientPneumoniaMedicine

摘要: Two hundred eighty patients were admitted to an intensive care stroke unit over a one-year period. Subsequent investigation indicated that only 199 of these actually had cerebral ischemic or hemorrhagic lesions, 10 other cerebrovascular and the remaining 71 unrelated diseases, predominantly seizures. Detailed analysis 103 revealed overall incidence 59% hypertension, 72% hypertensive, valvular heart disease. Fifty percent various cardiac arrhythmias, some which responsible for acute lesion. Fourteen died during phase, 11 from apparently irreversible selling, mainly due hemorrhage. Secondary complications such as pneumonia, pulmonary embolism, pressure sores urinary infection almost nonexistent, but beneficial effects on primary lesions more difficult demonstrate.

参考文章(6)
J. M. CRUICKSHANK, G. NEIL-DWYER, J. LANE, The effect of oral propranolol upon the ECG changes occurring in subarachnoid haemorrhage Cardiovascular Research. ,vol. 9, pp. 236- 245 ,(1975) , 10.1093/CVR/9.2.236
NEMAT O. BORHANI, Differences Among Hospitals in Case-Fatality Ratios of Cerebrovascular Disease Annals of Internal Medicine. ,vol. 72, pp. 953- 955 ,(1970) , 10.7326/0003-4819-72-6-953
J. W. Norris, Steroid therapy in acute cerebral infarction. JAMA Neurology. ,vol. 33, pp. 69- 71 ,(1976) , 10.1001/ARCHNEUR.1976.00500010071014
SYLVAN LAVY, ISRAEL YAAR, ELDAD MELAMED, SHLOMO STERN, The effect of acute stroke on cardiac functions as observed in an intensive stroke care unit. Stroke. ,vol. 5, pp. 775- 780 ,(1974) , 10.1161/01.STR.5.6.775
F.Bryan Kennedy, Thomas J. Pozen, Edward H. Gabelman, Joseph E. Tuthill, S.Donald Zaentz, Stroke intensive care—An appraisal American Heart Journal. ,vol. 80, pp. 188- 196 ,(1970) , 10.1016/0002-8703(70)90166-3
B. LIONEL TRUSCOTT, CLAIRE M. KRETSCHMANN, JAMES F. TOOLE, THOMAS F. PAJAK, Early rehabilitative care in community hospitals: effect on quality of survivorship following a stroke. Stroke. ,vol. 5, pp. 623- 629 ,(1974) , 10.1161/01.STR.5.5.623