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作者对675例首次卒中患者作前瞻性随访,时间为6.5年以上。其中男318例,女357例,平均年龄72岁。包括脑梗塞545例,原发性脑内出血66例,蛛网膜下腔出血33例,病理分型不明31例。随访结束时347例死亡,其中发病30天内死亡为129例,发病30天后死亡218例,对前者56例,后者44例进行尸检。发病30天后死亡的患者,死于首次卒中和卒中再发者占36％,其它血管病占34％。脑梗塞死亡患者,死于首次卒中33例,卒中再发32例,非卒中心血管疾病70例,非血管病60例,死因不明4例,而原发性脑内出血,蛛网膜下腔出血和不明类型的患者病后30天死亡仅19例。
The authors of 675 cases of first stroke patients were prospectively followed up for more than 6.5 years. There were 318 males and 357 females, with an average age of 72 years. Including 545 cases of cerebral infarction, 66 cases of primary intracerebral hemorrhage, 33 cases of subarachnoid hemorrhage, 31 cases of unknown pathological type. At the end of the follow-up, 347 patients died, of which 129 died within 30 days of onset and 218 died 30 days after onset. Of the 56 patients in the former group and 44 in the latter group, autopsy was performed. Patients who died 30 days after the onset of illness died of first stroke and 36% of those who had recurrent stroke and 34% of other vascular disease. Among the patients who died of cerebral infarction, 33 died of first stroke, 32 had recurrent stroke, 70 had non-stroke cardiovascular disease, 60 had non-vascular disease and 4 had unknown cause of death. Primary intracerebral hemorrhage, subarachnoid hemorrhage, Unknown type of patients died only 30 days after the disease in 19 cases.