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   acute stroke 在 神经病学 分类中 的翻译结果: 查询用时:0.225秒
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acute stroke     
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  acute stroke
Objektive: To review the prehospital management of patients with suspected acute stroke.
      
Nosocomial infections diminish the prognosis and clinical outcome of patients with acute stroke.
      
Besides poor performance in GCS and APACHE II, the necessity of early endotracheal intubation and the presence of infratentorial infarction were identified as risk factors for nosocomial pneumonia in acute stroke.
      
Ergebnisse der Second European-Australasian Acute Stroke Study (ECASS II): Wie beeinflussen sie die thrombolytische Therapie des
      
The goal of the Second European-Australasian Acute Stroke Study (ECASS II) was to evaluate safety and efficacy of thrombolytic therapy with rt-PA in AIS for a 6 hour time window.
      
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Visual evoked potential (VEP) was evaluated in 124 neurological cases. Of the subjects,88 were males, 36 were females. The ages ranged from 10 to 75 years. When compared with 123 healthy subjects who served as a control group, the percentage of the group with neurological disease who had VEP abnormality was 62.1%. The results for groups with specific conditions were: acute stroke, 72.7%; acute brain trauma, 61.8%; multiple sclerosis, 64.7%; severe brain cystocercosis, 76.9%; and for various degenerative...

Visual evoked potential (VEP) was evaluated in 124 neurological cases. Of the subjects,88 were males, 36 were females. The ages ranged from 10 to 75 years. When compared with 123 healthy subjects who served as a control group, the percentage of the group with neurological disease who had VEP abnormality was 62.1%. The results for groups with specific conditions were: acute stroke, 72.7%; acute brain trauma, 61.8%; multiple sclerosis, 64.7%; severe brain cystocercosis, 76.9%; and for various degenerative diseases, 37.5%. The results demonstrated that flash VEP evaluation is very helpful for early diagnosis, localization of focus, assessing severity, prognosis, and for serial observation in neurological conditions involving the brain. The P_1 (P100) VEP wave evokes the highest degree of abnormal response.

对124例神经系绕疾病患者进行了闪光式视诱发电位的测定,其中男88例,女36例。另选123名键康人测定正常值作对照。VEP总异常率62.1%;其中急性脑卒中72.7%异常,颅脑外伤(61.8%),多发性硬化症(64.7%),重型脑囊虫病(76.9%),其他变性病(37.5%)。闪光式VEP测定对判断病变定位、病情程度、早期诊断,动态观察及预后均有实用价值。各波异常率以P_1(P_(100))为最高。

The paper reported 29 cases of brain tumor with apoplectoid onset. The clinical manifestations were characterized with acute stroke in 19 cases, subarachnoid hemorrhage in 4 cases, mental deterioration in 2 cases and TIA in 4 cases.26 patients underwent craniotomy and the diagnosis was confirmed by pathologic study. Three other patients had positive findings by carotid arteriography and CONRAY ventriculography. The patnogenesis of the cases was analysed briefly.

本文报道29例以脑卒中为首发症状的脑肿瘤,其中26例经手术和病理检查证实,余3例经脑血管造影和脑室碘水造影确诊。临床表现①以急性或进展型脑卒中起病19例;②以珠网膜下腔出血起病4例;③以记忆力衰退酷似脑动脉硬化症2例;④以小卒中起病4例。文章对其发病机理进行分析。

The efficacy of intravenous urokinase inthrombolytic therapy for acute stroke has not beenproven.Recently,limited clinical experience with intra-arterial injection of thrombolytic agents early afteracute stroke has been promising.We treated a patientwith acute occlusion of left proximal middle cerebralartery(MCA)by thrombolytic therapy with urokinase,using the technique of superselective intracranialcatheterization.The drug was administered via an arterialmicrocatheter that its tip had been...

The efficacy of intravenous urokinase inthrombolytic therapy for acute stroke has not beenproven.Recently,limited clinical experience with intra-arterial injection of thrombolytic agents early afteracute stroke has been promising.We treated a patientwith acute occlusion of left proximal middle cerebralartery(MCA)by thrombolytic therapy with urokinase,using the technique of superselective intracranialcatheterization.The drug was administered via an arterialmicrocatheter that its tip had been positioned near theorigin of the occluded MCA.The total dosage ofurokinase was 250,000 units and infused over 2 hours.The second angiography demonstrated successfulrecanalization of the occluded MCA.A computerizedtomographic(CT)scan showed no detectable intracranialbleeding.Significant clininal improvement had beenobtained early after local intra-arterial infusion ofurokinase.We also reviewed some reports by otherauthors.We think that careful patient selection mightmake thrombolytic therapy safe and effective in thetreatment of acute ischemic stroke and the technique ofsuperselective intracranial catheterization holds great promise and tremendous potential for strok patients.

本文报告了采用超选择性导管技术,以尿激酶局部动脉内灌注治疗 1例左侧大脑中动脉闭塞患者,重复脑血管造影证实闭塞的动脉开通,临床上获得明显改善。并探讨了给药途径、超选择性溶栓治疗适应症的选择、局部动脉内灌注尿激酶的方法及用量等,并且分析了国外几组资料出血性并发症的出血部位,溶栓后的再通情况及其临床症状的改善情况。

 
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