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目的:深入探讨进展性脑卒中的临床特点、病因和意义。方法:将发病24小时内入院治疗的306例脑梗死患者随机分为进展组和非进展组,观察进展性卒中组106例患者的临床表现,比较分析进展组与非进展组血压、血糖、血脂、梗死部位以及脑彩超与颈部彩超临床资料。结果:进展性卒中神经功能缺失症状加重以24小时内最常见,高血压和糖尿病是进展性卒中的重要病因,纤维蛋白原增高,梗死部位及血管狭窄程度是进展性卒中发生的重要原因。结论:针对可引起进展性卒中的危险因素进行积极干预可有效抑制其发生。
Objective: To investigate in depth the clinical features, etiology and significance of stroke. Methods: A total of 306 patients with cerebral infarction admitted to hospital within 24 hours after onset were randomly divided into progressive group and non-progressive group. The clinical manifestations of 106 patients with progressive stroke were observed. The blood pressure, blood glucose, blood lipid , Infarction and cerebral ultrasonography and cervical ultrasonography clinical data. Results: The worsening neurological deficit in stroke patients was the most common cause of stroke in 24 hours. Hypertension and diabetes mellitus were the major causes of progressive stroke. The increase of fibrinogen, infarction site and stenosis were the major causes of stroke. CONCLUSIONS: Active intervention in risk factors for stroke can effectively suppress its occurrence.