腦卒中의 臨床考察 = Clinical studies on cerebrovascular accidents

다국어 초록 (Multilingual Abstract)

One hundred and seventy cases of cerebrovascular accidents admitted to Chosun University hospital were studied clinically over a period of 5 years, from April 1971 to march 1976, and following results were noted.
1. The % of cerebrovascular accident (170cases) to the total admitted to medical ward(4182 cases) during the same period was 4.1% and the ratio of male to female was 1.5:1.
2. Of the 170 cases of cerebrovasoular accidents, cerebral hemorrhage was 67 cases(39.4%), cerebral thrombosis 68 cases (40.0%), cerebral embolism 15 cases(8.8%), and subarachnoid hemorrhage 20 cases(11.8%).
3. Among the preexisting diseases off cerebrovascular accidents, hypertension was present in 91.4% of cerebral hemorrhage, 90.3% of cerebral thrombosis, 73.3% of subarachnoid hemorrhage and vavular heart diseases were present in 5.3% of the cerebral embolism.
4. The most frequent precipitating factor in cerebral hemorrhage and subarachnoid hemorrhage was emotional stress, whereas in the cerebral thrombosis and cerebral embolism, it was sleeping.
5. Among the symptoms and signs at onset, paralysis or paresis was present 62.7% of cerebral hemorrhage, 50.8% of cerebral thrombosis, 33.3# of cerebral embolism and 15.0% of subarachnid hemorrhage.
6. The mortality rate during admission was 31.8% in total, 50.7% in cerebral hemorrhage, 13.2% in cerebral thrombosis, 33.3% in cerebral embolism, and 30.0% in subarachnoid hemorrhage.
7. The omious features influencing the prognosis were □eucocytosis over 12000/㎣ and elevation of body temperature over 39℃.
8. Contray to the general notion that the every evacuation □ime with better prognosis, the earlier evacuation in rural □rea, seemed to be followed by poorer prognosis because of inadequete prehospital management, poor road condition □□ lack of ambulance service, which should be clarified by □ther controlled steady.

목차 (Table of Contents)

• Abstract = 1
• 緖論 = 3
• 관찰대상 및 방법 = 3
• 관찰 성격 = 3
• 1. 내과 총 입원 환자에 대한 비율 = 3
• 2. 병류별 발생 빈도 (table 1) = 3
• 3. 남녀및 연령별 발생 빈도 = 4
• 4. 계절적 분포 (table 3) = 5
• 5. 원인 질환별 발생 빈도 (table 4) = 5
• 6. 발생 유인 = 7
• 7. 발작시 증상및 이학적 소견 = 8
• 8. 검사실 소견 = 9
• 9. 사망율 (table 16) = 12
• 10. 예후와 이송 기간과의 관계 (table 17) = 13
• 考按 = 14
• 結論 = 18
• Reference = 19