Saratov JOURNAL of Medical and Scientific Research

Analysis of observations of acute strokes during the period from 2009 till 2012

Summary:

Objective: analysis of autopsy material of the patients who died with clinical diagnosis of stroke. Material and Methods. The protocols of postmortem investigations of 172 patients have been studied. The interested information were added to the questionnaire. Material was processed statistically. Results. It has been determined that 51,74% of dead patients were men and 48,26% were women. 96,9% of dead patients were from age group of 41-50 and 81-90 years respectively. The causes of death of the patients were edema of brain and pneumonia, which developed within 24 hours to 7 days. In 16,28% and 11.05% the death was fixed from 7 to 14 and from 14 to 28 days, respectively. The conclusive clinical diagnosis more commonly consisted of two basic diseases. Conclusion. There is a positive trend for improvement of the quality of diagnosis of stroke, to reduce the number of mistakes in conclusive clinical diagnosis.

Bibliography:
1. Novikova L.B. Organizatsiya spetsializirovannoy meditsinskoy pomoshchi bol'nym s insul'tom v Respublike Bashkortostan. Zhurnal nevrologii i psikhiatrii 2011; 12 (2): 72-76; 2. Prikaz Ministerstva zdravookhraneniya i sotsial'nogo razvitiya RF № 389n ot 6 iyulya 2009 goda «Ob utverzhdenii Poryadka okazaniya meditsinskoy pomoshchi bol'nym s ostrymi narusheniyami mozgovogo krovoobrashcheniya»; 3. Prikaz Departamenta zdravookhraneniya ро Smolenskoy oblasti ot 27.09.2011 g. №1127 «Ob izmenenii zony otvetstvennosti i marshrutizatsiya patsientov»; 4. Sidorenko EV. Metody matematicheskoy obrabotki v psikhologii. SPb.: Rech', 2010; 350 p.; 5. Fabregas N, Torres A, El-Ebiary М, et al. Histopathological and microbiological aspects of ventilator-associated pneumonia. Anesthesiology 1996; 84 (4): 760-771; 6. Corley D.E., Kirtland S.H., Winterbauer R.H., et al. Reproducibility of the histologic diagnosis of pneumonia among a panel of four pathologists: analysis of a gold standard. Chest 1997; 112 (2): 458-65; 7. Vorlou Ch.P., Dennis M.S., van Geyn Zh, Khanskiy G.Zh., et al. Insul't: prakticheskoe rukovodstvo dlya vedeniya bol'nykh; SPb.: Politekhnika; 1998; 8. Suslina Z.A., Vereshchagin N.V., Piradov M.A. Podtipy ishemicheskikh narusheniy mozgovogo krovoobrashcheniya: diagnostika i lechenie. Prilozhenie k Consilium medicum. Nevrologiya / Revmatologiya 2001; 3 (5): 8-11; 9. Markin S.P. Reabilitatsiya bol'nykh s ostrym narusheniem mozgovogo krovoobrashcheniya. Prilozhenie k zhurnalu Sonsilium medicum. Nevrologiya /Revmatologiya 2010; 1: 53-58.); 10. Kuznetsova S.M., Egorova M.S. Kardioembolicheskiy insul't: polusharnye osobennosti tserebral'noy, sistemnoy i intrakardial'noy gemodinamiki. Klinicheskaya nevrologiya; 20126 (3): 18-24.).

AttachmentSize
2014_03_378-383.pdf1.46 MB

No votes yet