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METHOD OF PREDICTING DISABILITY IN CHILDREN WITH ISCHEMIC INSULT

机译:预测缺血性残疾儿童的方法

摘要

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
机译:领域:医学;实体:定义了28个参数:Apgar评分,50岁以下血亲中的血栓形成事件,在生命的第一年内由神经科医生进行配药观察,中风之前的传染病,“通常生病的孩子,最初并未确定“中风”的诊断,在最初的6个小时内出现四肢麻痹或麻痹的迹象,在神经影像学检查期间,梗塞的焦点在第一天固定下来,中风局限在后脑动脉下盆,静脉输液包括MgSO 4 溶液,使用抗菌疗法,输血疗法,住院第七天出现昏迷迹象,抽搐综合征在医院住院的第7天持续存在或出现,在医院住院的第7天保留了轻瘫或四肢麻痹的迹象,在医院住院的第7天仍存在延髓麻痹的迹象,住院的第7天颅神经动眼神经麻痹持续存在,住院的第7天仍保留人工通气,建议从医院出院进行抗血栓和抗癫痫治疗,数量疾病急性期血液中的一般分析中的红细胞,白细胞数量,血小板数量,血栓性血细胞减少症,ESR,白血球配方,纤维蛋白原的数量,在疾病急性期中的一般分析根据超声心动图的结果记录结构。根据所要求的公式计算综合预后指数(IPI)。如果IPI的值小于零,则预测没有残疾。如果IPI大于零,则可以预测是在儿童缺血性中风的恢复期结束后分配了残疾。效果:由于对儿童的缺血性卒中的综合评估,该方法可以准确预测缺血性中风儿童的残疾发展最重要的参数。; 1 tbl,2 ex

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