PHÂN TÍCH MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TỬ VONG Ở BỆNH NHÂN NHỒI MÁU NÃO CẤP TÍNH DIỆN RỘNG CÓ ĐẶT NỘI KHÍ QUẢN

Abstract

Background: Analysis of some factors related to mortality in patients with acute large hemispheric infaection with endotracheal intubation. Method: Study of69 patients with acute large hemispheric infaection, of which 38 patients without the intubation and 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 with the intubation was 70.32±11.37, male 69.2%, mortality rate 41,9%. The mean of NIHSS score at hospital admission was 21.81±3.5. The mean of Glasgow score at hospital admission was 11.87±1.15. Clinical symptomonset was more prominent in the group with the intubation including: headache (48.1%), consciousness disorders (90.3%), head-eye deviation (77.4%), urinary incontinenceonset (74.2%), with p<0.05. Reason for the intubation due to neurological causes accounted for 80.6%; The mean Glasgow score at intubation was 9.10±1.35 points. Factors related to the mortality included: NIHSS score at hospital admission, endotracheal intubation due to neurological causes, Glasgow score at the intubation, dilated pupil admission and loss of light reflection at the intubation, midline shift. Conclusion: The mortality rate in the group of patients with acute large hemispheric infaection with the intubation was 41.9%. Factors related to the mortality included: NIHSS score on admission, neurogenic reason for intubation, Glasgow score at intubation, dilated pupil admission and loss of light reflection at the intubation, midline shift