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首页> 外文期刊>Galle medical journal: journal of the Galle Medical Association >Value of CT scanning in the diagnosis and management of patients admitted with stroke to a tertiary care center in Sri Lanka
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Value of CT scanning in the diagnosis and management of patients admitted with stroke to a tertiary care center in Sri Lanka

机译：CT扫描在斯里兰卡三级护理中心中风住院患者的诊断和管理中的价值

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Introduction: Stroke is a clinical diagnosis for which CT is the mainstay of investigation. The diagnostic comparisons between the clinical and the CT diagnosis of stroke and the impact of the latter on management are unclear in the local setting. Materials and Methods: Fifty admissions with the clinical diagnosis of stroke to the University Medical unit were studied for three months. Data on the time and mode of admission, the sub-type of clinical diagnosis (infarct, intracerebral and subarachnoid haemorrhage), CT diagnosis and the impact of CT diagnosis on the management were recorded. Results: Females accounted for 52%. Cerebral infarctions were commoner than the haemorrhage (56% and 12%, respectively). The sub-typing of stroke was identical to the clinical diagnosis in 44% of patients. The sensitivity of the clinical diagnosis is highest in SAH (75%) followed by infarction (61%) and ICH (6%). The specificity was highest in SAH (98%) followed by ICH (70%) and cerebral infarction (36%). Conclusion: CT brain has improved the diagnostic accuracy of stroke. It has contributed for better management. As the clinical diagnosis of the sub-typing of stroke is correct in less than 50%, CT scan is mandatory for all patients with stroke in the local setting. ? doi: 10.4038/gmj.v13i1.884 Galle Medical Journal Vol.13(1) 2008 1-6
机译：简介：中风是一种临床诊断，CT是研究的主要内容。在当地，尚不清楚中风的临床诊断与CT诊断之间的诊断比较以及后者对管理的影响。资料与方法：研究了50例入院后中风的临床诊断，共入院三个月。记录有关入院时间和方式，临床诊断亚型（梗塞，脑内和蛛网膜下腔出血），CT诊断以及CT诊断对治疗的影响的数据。结果：女性占52％。脑梗死比出血更常见（分别为56％和12％）。中风的亚型与44％的患者的临床诊断相同。临床诊断的敏感性最高的是SAH（75％），其次是梗死（61％）和ICH（6％）。特异性最高的是SAH（98％），其次是ICH（70％）和脑梗塞（36％）。结论：CT脑可提高中风的诊断准确性。它为更好的管理做出了贡献。由于脑卒中亚型的临床诊断正确率低于50％，因此在本地就必须对所有脑卒中患者进行CT扫描。 ？ doi：10.4038 / gmj.v13i1.884 Galle医学杂志Vol.13（1）2008 1-6

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