Prognosis of sequelae of stroke

(1) The older you are, the worse your prognosis is. The mortality rate under 60 years old is about 30%, and the mortality rate over 70 years old can be as high as 70%.

(2) The longer the history of hypertension, the higher the blood pressure and the worse the prognosis. When the blood pressure is above 200/1.20mmhg, the mortality rate is 30.07%.

(3) The deeper and longer the coma, the worse the prognosis. 94% people who are in a deep coma die. Patients with post-illness disturbance of consciousness or gradual improvement of disturbance of consciousness have a better prognosis. The longer the sleepiness, the worse the prognosis.

(4) The faster the disease progresses, the earlier the symptoms of intracranial hypertension appear, the more serious the symptoms, and the worse the prognosis.

(5) Excessive bleeding and poor prognosis. Patients with hematoma formation and obvious displacement of midline structure have poor prognosis. Lumbar puncture with colorless and transparent cerebrospinal fluid has a good prognosis.

(6) The prognosis of epileptic patients is poor. Because it will aggravate brain edema or cerebral hemorrhage.

(7) The prognosis of patients with visceral dysfunction is poor. The common situation is gastrointestinal bleeding, and the mortality rate is as high as 80%.

(8) Patients with metabolic disorders, such as acidosis and electrolyte disorder, have poor prognosis.

(9) Recurrent authors have poor prognosis.

(10) The worse the effect of dehydration and blood pressure, the worse the prognosis.

2. Ischemic attack

(1) is related to the size of blocked blood vessels, such as small blood vessels, small cerebral ischemia area, easy formation of collateral circulation, quick recovery and good prognosis. For example, the blocked blood vessels are large, the range of cerebral ischemia is large, the brain tissue is seriously damaged, the clinical symptoms recover slowly, and the prognosis is poor.

(2) Patients with chronic disease related to the onset speed are more likely to form collateral circulation, and cerebral ischemia can be gradually compensated, with a better prognosis. Acute attack failed to establish collateral circulation, and the prognosis was poor.

(3) The first attack is related to the number and frequency of infarction, and the prognosis is good.

(4) It is related to the nature of embolus. For example, if the embolus is loose, it will break and flow to the far end of the blood flow, blocking small blood vessels, and the prognosis will be better. The prognosis of fat embolus, air embolus and bacterial embolus is more serious than cardiogenic embolus. However, the prognosis of brain abscess caused by cardiogenic embolus is poor.

(5) The symptoms related to the severity of lesion localization are mild and the prognosis is good. On the contrary, patients with severe hemiplegia and aphasia have poor prognosis.

(6) The severity of coma, the longer the duration, the worse the prognosis. There was no coma at the onset, and then coma, and the degree of coma gradually increased, and the prognosis was poor. Patients are always awake and have a good prognosis.

(7) It is related to whether there are complications, such as pressure sore, lung infection, urinary tract infection, diabetes, coronary heart disease, arrhythmia, heart failure, etc. The prognosis is poor, and those without complications have a better prognosis.

(8) It is related to the patient's age, which is older, with poor physique and poor prognosis. Young age, good physique and good prognosis.