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在大血管闭塞中特征性昏迷,中风

Michael J Young¹, Amine Awad², Alexander Andreev³

¹Department of Neurology, Massachusetts General Hospital and Harvard Medical School, 101 Merrimac Street, Suite 310, Boston, MA, 02114, USA. michael.young@mgh.harvard.edu.

Journal of neurology

|February 17, 2024

概括

昏迷是大血管闭塞 (LVO) 中风的常见表现,通常与糟糕的结果有关. 早期识别出现昏迷的LVO中风对于及时干预和改善患者预后至关重要.

科学领域:

神经学神经学
脑卒中医学脑卒中医学
关键的护理关键的护理

背景情况:

昏迷,一种意识受损的状态,在缺血性中风中没有很好的特征.
大血管闭塞 (LVO) 卒中需要及时诊断和治疗.
在LVO中风中昏迷的表现尚未得到充分研究.

研究的目的:

为了确定LVO中风患者昏迷的发病率和临床特征.
为了调查与LVO中风中昏迷相关的结果.

主要方法:

从2018年7月到2020年12月,对LVO中风患者的回顾性鉴定.
昏迷症被定义为NIHSS项目1a的3分.
对闭塞位置,治疗方法和患者结果的分析.

主要成果:

4.4%的LVO中风患者出现了昏迷状态 (28/637).
昏迷患者的NIHSS得分明显更高 (中位数为32比11).
昏迷独立地增加了舒适护理的几率 (aOR 6.75),并降低了90天良好功能结果的几率 (aOR 0.12).

结论:

昏迷是LVO中风的一个显著表现,发生在前后循环封闭中.
昏迷患者中LVO的延迟识别有助于结果差.
高度怀疑和早期诊断对于改善LVO中风患者昏迷的护理至关重要.

关键词:

昏迷的昏迷,一个昏迷的昏迷.意识意识意识意识意识意识意识意识意识意识意识在 LVO LVO 中.神经伦理学是一种神经伦理学.一次性中风,中风.进行血栓切除术 (thrombectomy).

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