ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH HỌC Ở BỆNH NHÂN NHỒI MÁU NÃO DIỆN RỘNG BÁN CẦU CÓ ĐẶT NỘI KHÍ QUẢN

Abstract

Background: Comments on clinical features and images of patients with large hemispheric infarction with endotracheal intubation. Method: Study of 31 patients with the intubation, were treated in Neurological Center of Bach Mai Hospital from August 2020 to July 2021. Result: The average age of patients was 70.32±11.37, the percentage of male was 67.7%, mortality rate was 41,9%. Frequent clinical symptoms onset included: paralysis (100%), language disorder (100%), consciousness disorder (90.3%), head-eye deviation (77.4%), urinary and fecal incontinence (74.2%). The mean of NIHSS score and Glasgow score at hospital admission was 21.81±3.53 and 11,87±1,15, resepectively. The intubation due to neurologic disorders accounted for 80.6%, the mean of Glasgow score in case of intubation was 9.10±1.35; 51.6% patients with abnormal pupil size and 35.5% patients with loss of light reflex when intubated. The ASPECT score at hospital admission was 4.39±1.15; average midline shift classification was 7.03±3.83 mm including 22.6% patients with midline shift classification level 3 (>10mm). 45.2% patients with hemorrhagic transformation. Conclusion: Large hemispherical infarction is a severe form of stroke with various clinical features and images and high mortality rate (41.9%)