الأمراض الإسعافية التي تقلّد الحادث الوعائي الدماغي
Abstract
تضمنت الدراسة المرضى الذين راجعوا بتشخيص مبدئي حالة حادث وعائي دماغي حسب التعريف التالي للحادث الوعائي الدماغي على أنه عجز عصبي جزئي مفاجئ مشخص بالقصة أو الفحص السريري يدوم أكثر من ساعة قد يترافق أو لا يترافق بتدني مستوى الوعي [9].
تضمنت الرسالة /170/ مريضاً تم قبولهم في المشفى بتشخيص مبدئي حالة حادث وعائي دماغي وبعد إجراء الاستقصاءات الشعاعية والمخبرية الضرورية لوضع التشخيص النهائي تبين أن /130/ مريضاً كان تشخيصهم النهائي حادثاً وعائياً دماغياً و /40/ مريضاً كان تشخيصهم النهائي هو من مقلدات الحادث الوعائي الدماغي أي إن نسبة الخطأ في التشخيص المبدئي للحادث الوعائي الدماغي هي 23.52%. هناك /13/ مريضاً اختلط تشخيصها مع الحادث الوعائي أثناء البحث. كانت أغلب الحالات هي الصرع بنسبة 27.5% والأورام الدماغية بنسبة 25%، أما الحالات الأخرى التي سنذكرها لاحقاً فكانت بتواتر أقل وهي: نقص سكر الدم، التصلب اللويحي، الشقيقة المترافقة، ورم دموي تحت الجافية، اضطرابات نفسية، دوار الوضعة، نقص صوديوم الدم، سبات فرط التناضح، الكحولية، التهاب الدماغ العقبولي، إنتان جهازي.
Our research included patients admitted with Cerebro Vascular Accident (CVA). As a primary diagnosis, according to the next definition CVA could be presented as sudden onset of a focal deficit – either by history or by examination lasting more than one hour with or without a change in cognitive function or level of consciousness.
The research included /170/ patients accepted in the hospital with a primary diagnosis of CVA. As a result of the radiography and laboratory investigations for establishing the final diagnosis, it had been found that /130/ patients had the CVA as the final diagnosis, and /40/ patients had CVA mimics as the final diagnosis.
It means that the margin of error in the primary diagnosis was 23.52% in patients with CVA.
During the research, /13/ diseases got mixed up with the diagnosis of CVA, most of which were seizures 27.5%, brain tumor 25%. The other cases that we are going to present later were less frequent: hypoglycemia – multiple sclerosis, complicated migraine, subdural hematoma, psychiatric problems, positional vertigo, hyponatremia, hyperglycemia, alcoholism, herpes encephalitis, systemic infections.
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