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KMID : 1003219970030010101
Journal of Korean Oriental Chronic Disease
1997 Volume.3 No. 1 p.101 ~ p.125
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Abstract
THE BACKGROUND AND PURPOSE
The purposes of this study were to analysis predictors influenting the clinical course of stroke.
METHODS
We studied documentations in the latest journals about predictors of stroke.
CONCLUSIONS
The prognostic factors about cerebral infarction were the location of infarction, the years, the history of CVA, diseases precendent, and whether rehabilitaion therapy or not , etc.. Especially, thalamic infarction was under the influence of anatomical position of infarction in thalamus, and post cerebral artery infarction was under the influence of the CVA history. In lacunar infarction, there were many different studies about prognostic factors.
The prognostic factors of cerebral hemorrhage were the location of hemorrhage, amount of hemorrhage, a patient¢¥s mental state at the time of attack, the ventricular hemorrhge or not, and the methods of therapy, etc.. If the amounts of hemorrhage would be 20¡­30cc, conservative therapy comes out better results. But if the patient would be stupor or above, and amount of hemorrhage would be 80¡­100cc over, prognosis are bad regardless therapy. In the case of middle level patients, there were different results according to reporters.
The other¢¥s prognostic factors were old ages, hypertension, diabetes, heart and kidney disease, perception, recognition, intelligence, exercise function, history of CVA, delay from attack to therapy, early rehabilitation, complications, and early hematocrit, etc.. The sex, and left or right of paralysis didn¢¥t affect prognosis.
We have to study with the method of connecting neurology with rehabilitation, and of investigation about prognostic factors according to the anatomical locations in brain and operation therapy. And we have to appraise the clinical course with objective recovery apprasing methods.
KEYWORD
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