Stroke:多动脉区域急性脑梗死患者短期结局和院内并发症

2019-09-21 xing.T MedSci原创

由此可见,MACI患者院内并发症较常见,可能对短期临床和功能预后产生不利影响。住院期间对MACI患者进行更密切的随访可以预防此类事件和不良事件进展。

多动脉区域急性脑梗死(MACI)患者占卒中人群的很大一部分。然而,没有关于MACI患者短期结局和住院并发症的数据。近日,心血管疾病领域权威杂志Stroke上发表了一篇研究文章,研究人员将MACI患者与单动脉区域急性脑梗塞患者进行了比较。

研究人员分析了3343例弥散加权成像确诊的急性脑梗塞患者。MACI被定义为至少2个动脉脑区域中的至少2个急性脑缺血性病变。在住院或出院后第7天,将MACI患者与单动脉区域急性脑梗死患者的相关院内并发症和短期结局进行了比较,即国立卫生研究院卒中量表和改良Rankin量表。

该研究—共有311例患者(9.3%)达到了MACI的定义,他们的美国国立卫生研究院卒中量表(2 [1–7] vs. 1 [0–4])和改良Rankin量表(3 [1–4] vs. 2 [1-3])均较高。MACI与更高的国立卫生研究院卒中量表和改良的Rankin量表得分相关。MACI患者深静脉血栓形成、心肌梗塞及任何并发症均较常见。

由此可见,MACI患者院内并发症较常见,可能对短期临床和功能预后产生不利影响。住院期间对MACI患者进行更密切的随访可以预防此类事件和不良事件进展。 

原始出处:

Vojtech Novotny.et al.Short-Term Outcome and In-Hospital Complications After Acute Cerebral Infarcts in Multiple Arterial Territories.stroke.2019.https://www.ahajournals.org/doi/10.1161/STROKEAHA.119.027049

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    2019-11-28 丁鹏鹏
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    2019-09-23 karmond