1.Remark on some clinical characteristics, CT scanner images and evaluate the value of SIRIRAJ grade in diagnosis for cerebral hemorrhages and cerebral infarction at the General Nghe An Hospital
Journal of Practical Medicine 2005;519(9):36-39
A study on 114 patients at the Mental Department and Emergency Department in the General Nghe An Hospital from Aug 2002 to Aug 2004 showed that: cerebral stroke is common disorder in neurology. Cerebral hemorrhages patients have some symptoms such as: conscious disorders (90.5%); headache (95.2%); encephalic infarction with hemiplegia 72.2%. Cerebral hemorrhages with sudden onset (76.2%), serious conscious disorder (71.4%), headache (66.7%), and vomiting (57.1%), orbicularis disorder (80.9%), meningitis syndrome (57.1%). Although encephalic infarction onset is more serious, its symptoms are much lower than cerebral hemorrhages. The average blood pressure in patients with cerebral hemorrhages is higher than that in patients with encephalic infarction. 87.7% patients have one lesion nest identified by computed tomography (CT) scanner, in which infarction-hemorrhagic lesion was 7%. The method has high value in differential
diagnosis between cerebral hemorrhages and cerebral infarction with the sensitivity of diagnosis of cerebral hemorrhages was 88.8% and encephalic infarction was 90.9%, the overall accuracy was 93.7%. Because the SIRIRAJ grade is simple, easy to count and mainly based on questioning patients, so it should be applied widely for doctors at community centers without CT scanner.
Cerebral Hemorrhage
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Cerebral Infarction
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Diagnosis
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Tomography
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X-Ray Computed
2.Study on some risks in the patients with stroke in Nghe An General Hospital
Journal of Practical Medicine 2005;10():59-62
A retrospective study on 114 patients with cerebrovascular events in Nghe An General Hospital from 8/2002 – 8/2004. Result: Cerebrovascular events increase with age, more common in men than in women, more common in people with low education than in people with high education. There is no significant gap in cerebrovascular event between people who live in urban and in rural area. Cerebro vascular event often occurs in the winter from November to February. Some bad habits are considered as risk factors: alcohol drinking: 38 patients (28.9%; men: 41.3%; women: 5.1%); smoking: 29 patients (25.%; men: 37.3%; women: 2.6%). There is a difference between men and women on two risk factors. (p<0.01, salty food consumption: 37 patients (32.5%; men: 30.7%, women: 35.9%). Some conditions also were considered as risk factors are hypertension: 66.7%, cardiovascular diseases: 20.2%, diabetes: 16.7% and temporary cerebrovascular problems: 14%. Dyslipidemia: high cholesterol level: 51.8%, increase LDL: 45.6%, increase tryglycerid: 42.1%, reduce HDL:36.8%.
Stroke
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Risk Factors