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Rehabilitation Practice and Science

Translated Title

腦梗塞病人預後與電腦斷層掃描之關係

Abstract

This study was carried out on 107 cases with cerebral infarcts for investigation of prognosis in Chang Gung Memorial Hospital from July 1984 to Feb. 1989. Parameters studied were age. sex. lesion size. neuroanatomic lesion site. lateralization of lesions. follow up duration (＞6 months), receive of rehabilitation program or not. and the working status and income status before and post-stroke.According to the size and depth of hypodensity the brain computerized tomograms were classified into seven groups: Group 1:normal, Group 2:small superficial infarct, Group3:large superficial infarct. Group 4:deep infarct, Group 5:deep and large superficial infarcts, Group 6:bilateral hemispheres infarcts, Group 7:bram stem infarct. The prognosis of these patients had been placed in four groups by depenency of　ADL and ability in ambulation: Group A:mormal, Group B:ADL independent, ambulation with device, Group C:ADL partial dependent, ambulation with device, Group D:ADL total dependent and incontinence. We found good prognosis sequentially as Group 1, Group 4, Group 7 and the poor prognosis are Group 6, Group5, Group3. There were no significant difference in age, sex, lateralization of lesions, follow up duration and receive of rehabilitation program or not. Most of our patients had lost their jobs and had lower income after stroke in all groups except group 1, but seems not parallel to the severity of neurological damage.

Language

Traditional Chinese

First Page

136

Last Page

141

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