中国卒中杂志Issue(2)：115-119,5.DOI:10.3969/j.issn.1673-5765.2016.02.005
不明原因栓塞性卒中的临床研究
Clinical Study on Embolic Stroke of Undetermined Source
黄维 1毕齐1
作者信息
- 1. 100029 北京首都医科大学附属北京安贞医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the general information, risk factors and treatments of in-patients with embolic stroke of undetermined source (ESUS) population. Methods Retrospective review of hospital records of patients admitted in Dept. of Neurology of Beijing Anzhen Hospital between Jan 2003 and Dec 2014 was made. Patients meeting the criteria for ESUS were enlisted into test group, and other subtypes of stroke were enlisted into control group. The general information, risk factors and treatments were compared between two groups. Results In total, 1296 patients with ifrst acute ischemic stroke were retrieved. Two hundred patients of them were enrolled for completing the examination of ESUS diagnosis, among which 46.5% (93/200) patients met the criteria for ESUS. Other subtypes included large-artery atherosclerotic 26% (52/200), cardioembolism 25% (50/200), lacunar 2.5% (5/200) and cryptogenic stroke 0. The distribution of stroke risk factors in ESUS patients followed the same pattern as in the general stroke population. At hospital discharge, 94.6% (88/93) received antiplatelet therapy, and 5.4% (5/93) received no antithrombotic therapy because of errhysis after infarction. Neither warfarin nor new oral anticoagulant was used upon patients with ESUS. Conclusion Ischemic stroke patients meeting criteria for ESUS are not uncommon. Clinicians should complete the examination of ESUS diagnosis, increasing its diagnosis rate, further reifne the stroke subtype, thus providing more targeted treatment.关键词
不明原因栓塞性卒中/诊断标准/筛查方法Key words
Embolic stroke of undetermined source/Diagnostic criteria/Screening method引用本文复制引用
黄维,毕齐..不明原因栓塞性卒中的临床研究[J].中国卒中杂志,2016,(2):115-119,5.
