近数十年中,大多数西欧国家卒中死亡率在降低,但东欧国家却相反。作者根据WHO MONICA计划有关立陶宛考那斯社区卒中登记的原始资料,研究了该地区1986年～1993年间35岁～64岁人群脑梗死、脑出血和蛛网膜下腔出血后28d内的死亡趋势。 结果 据登记资料,死于卒中者共741例(其中男456例,女285例)。在致死性卒中中,蛛网膜下腔出血所占比率从1986年的18.8％降至1993年的11.4％,而脑出血则自1986年的28.1％升至43.9 ％。脑梗死 In recent decades, stroke death rates have declined in most Western European countries, but the opposite has been observed in Eastern European countries. Based on the WHO MONICA program’s original data on stroke registration in the Kaunas community in Lithuania, the author studied the death trends of cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage within 28 days from 35 to 64 years old in the area from 1986 to 1993. Results According to the registration data, a total of 741 patients died of stroke (including 456 males and 285 females). In fatal stroke, the rate of subarachnoid hemorrhage dropped from 18.8% in 1986 to 11.4% in 1993, while that of cerebral hemorrhage rose from 28.1% in 1986 to 43.9%. Cerebral infarction