MÔ TẢ ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH HỌC TRÊN BỆNH NHÂN NHỒI MÁU NÃO CẤP DIỆN RỘNG TẠI BỆNH VIỆN ĐA KHOA TỈNH HẢI DƯƠNG NĂM 2022

Abstract

Background: Most patients admitted to the hospital have clearly risk factors, severe clinical symptoms, clear paraclinical symptoms, and severity. The patient arrived late 4.5 hours after onset, so the thrombolytic intervention could not be performed. Objective: Describe clinical characteristics and computed tomography images in patients with acute large-scale cerebral infarction of the middle cerebral artery system at the Stroke Department of Hai Duong Provincial General Hospital in 2022. Methods: The research design used a cross-sectional, prospective descriptive method. Including 46 patients who met the criteria for selection into the study. It was used to choose convenient samples. Use Glasgow, NIHSS, TOAST, mRS, ASPECT scales to evaluate. Results: Patients had an average age of 77.98 ± 17.59, the group of patients aged > 70 accounted for a high proportion of 73.9%. Patients with risk factors have been recognized in study: hypertension, recurrent stroke, atrial fibrillation. The average NIHSS score at hospital admission was 15.43 ± 4.23. The proportion of patients with cerebral edema at admission was very high, 87% patients, and 78,3% patients had systolic hypertension. Most patients arrive 4.5 hours late, so they have clear images of decreased density on CT scanner. There were 95.7%  patients with ASPECTS score <6 and 45,7% patients had midline pushing on the x-ray. Conclusion: There should be a widespread and regular communication strategy in the community in Hai Duong in particular to raise people's awareness about correctly and quickly detecting and treating stroke so that patients can be received the most optimal treatment.