脑卒中诊治观念转变的思考.pdfVIP

( ) 2010 3 31 3 401 脑卒中诊治观念转变的思考 周志明 : 脑卒中是一种常见病, 伴有较高的病死率和致残率近年来脑卒中诊治方面取得 不少 进展, 许多有关脑卒中的诊治的观念发生 巨大的转变, 如卒中后血压的控制, 高血压脑出血 的止血治疗, 急性脑梗死的溶栓治疗, 卒中单元以及卒中的预防等方面从这些转变中渗透着 许多哲学观点, 如否定之否定规律, 科学假说与理论之间的关系, 系统论的应用等运用哲学 的观点认识脑卒中的诊断治疗的转变, 对日后的临床和科研有着一定的指导意义 : 脑卒中, 诊断, 治疗, 哲学思考 : R743 . 3 : A : 1002- 0772( 20 10) 03- 0005- 03 The Philosophical Thinking on the P rogress of Diagnosis and Treatment in Cerebral Vascular Dis ease ZH OU Zhiming . Dep artment of Neurology , Jinling H osp ital, N anj ing University School of Medicine, N anj ing 2 10002, hina Abstract: St roke is a commo n disease w ith hig h mo rta ity and hig h eve s o f disabi ity among surv ivo rs . A dvance in diag no sis and treatments hav e been achieved in the ast f ew year s . Such as the hypertension contro in the st roke surv ivo rs, he mostatic thera py for int racrania hemo rr hag e patients, thr ombo ysis fo r the acute ischemic str oke, stroke unit and str oke preventio n , et a . T hese changes and pro gr ess are permeated w ith phi oso phy v iew s, such as doub e neg at ion aw , the re ationship betw een the scientif ic hypothesis and theor y, app icatio n of sy stem s theor y, and so on . It is he pfu for u s to g ui d c inica and backg round r esear ch if w e r eco gnize t he advancement of cerebra v ascu a r disease w ith phi osophic t hink ing. Key Words: str oke, diag no sis, tr eatment , phi osophic thinking ( St ro ke) ( ) 4 , 28% ,