FIELD: medicine.
SUBSTANCE: 28 parameters are defined: Apgar score, thrombotic events in blood relatives under the age of 50 years, dispensary observation with a neurologist during the first year of life, an infectious disease prior to a stroke, "often a sick child, initially the diagnosis of "stroke" was not established, during the first 6 hours there were signs of paresis or paralysis of the limbs, during the neuroimaging the focus of the infarction was fixed during the first day, the stroke is localized in the basin of the posterior cerebral artery, intravenous infusion Included a solution of MgSO4, the use of antibacterial therapy, blood transfusion therapy, signs of coma persist on the 7th day of stay in the hospital, convulsive syndrome persists or appeared on the 7th day of stay in the hospital, signs of paresis or paralysis of limbs are preserved on the 7th day of stay in the hospital, signs of bulbar paralysis persist on the 7th day of stay in the hospital, signs of paresis of the oculomotor group of cranial nerves persist on the 7th day of stay in the hospital, the need for artificial ventilation is preserved on the 7th day of stay in the hospital, antithrombotic and antiepileptic therapy is recommended for discharge from the hospital, the number of erythrocytes, the number of white blood cells, the number of platelets, thrombus ocytopenia, ESR, leukocyte formula, fibrinogen in the general analysis of blood in the acute period of the disease, in the acute period of the disease the pathology of the heart structure was recorded according to the results of echocardiography. The integrative prognostic index (IPI) is calculated according to the claimed formula. If the value of IPI is less than zero, predict the absence of disability. With IPI greater than zero, it is predicted that disability is assigned after the end of the recovery period of ischemic stroke in childhood.
EFFECT: method allows to accurately predict the development of disability in children with ischemic stroke due to a comprehensive assessment of the most significant parameters.
1 tbl, 2 ex
Title | Year | Author | Number |
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METHOD FOR PREDICTION OF DEVELOPING DISABILITY IN CHILDREN SUFFERED HAEMORRHAGIC STROKE | 2014 |
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RU2559927C1 |
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RU2781115C1 |
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RU2312362C2 |
METHOD OF TREATING PATIENTS WITH DEPRESSION OF CONSCIOUSNESS ACCOMPANYING ACUTE ISCHEMIC STROKES | 2013 |
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RU2731911C1 |
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RU2140643C1 |
Authors
Dates
2017-07-03—Published
2016-07-06—Filed