中国全科医学教147-155.docxVIP

17 17 (STROKE) (OVERVIEW) 700  200 75% 1 2  - /  - TIA 12 h 300 2/3 3 Transient Ischemic Attack TIA 1 2 TIA 3 4 4 1 CT (DIAGNOSIS)  2  MRI  T1W  T2W DWI PWI 1  3 4  TCD 2  3  5  DSA 2  6 7 8  PET  SPECT 2009  147 Ｃｈｐ　１７．ｐ６５  147  2009-4-15, 16:06 1 1 TIA -  5  20 24 Cerebral Infarction with Transient Symptoms CITS TIA -  TIA 2  CT  MRI 3  TIA  2  75 80 Hu  CT  CT 2 1  TIA  4  3 1  90% 2  CT  24  48  2  CT  MRA DSA DWI MRI T1W T2W  3 5 1 3 3 1 148 2  2009 Ｃｈｐ　１７．ｐ６５  148  2009-4-15, 16:06 17 (TREATMENT AND PREVENTION) 1  20g/d  20  30g/d  15 3 1 3 10mmHg 49% 5mmHg 46% 4 2  58%  3  5 - 6g ACEI ARB WHO  10  30  2  2 BMI  2.2  Body Mass Index BMI  2009  2  3  149 Ｃｈｐ　１７．ｐ６５  149  2009-4-15, 16:06 (a)  160 179/100  109mmHg  1 180/110mmHg 1 3 6 160/100mmHg 3 4 2 3% 5% 50% 40 INR  5  2mmol/L 2.5mmol/L IFG IGT 2.0 3.0 1.6 2.5 75  50 300mg/d 3 65 7% 10% 5% 7% 50% 1 70%  25mg 50 150mg  200mg 2 2  1 B C E  2  75mg 250mg 2  120/80mmHg  2 89mmHg 99mmHg  1 2 120 140 139/80 159/90  3 4 5 150  2009 Ｃｈｐ　１７．ｐ６５  150  2009-4-15, 16:06 17 4 7  10 mg 8  3 1  ? 40 mg 5  1  1  80 mg 5%  TIA 1  2  500mL  9  3  2  30 24 1 30 mg 14 ? 2 2  TIA  10  2  / 2  3 3  /  3  1 7 3 6 1 2  t-PA 12  3 6  3  1  10mL  CT  30mL 3  24  2  10mL  3cm 3 4 0.4 mL 12 1  48  4 5 6 Ｃｈｐ　１７．ｐ６５  1  2  151  500 mL  8  2009  2009-4-15, 16:06  4 6  151 2 6- 1 3 70% 2 CT  70% 3 4  CT  70% 3mm 11 9 1 1  20%  125  250mL 2 6 8 1  / 5 7  2 3 3 10  1  4  Bobath  6 152  2009 Ｃｈｐ　１７．ｐ６５  152  2009-4-15, 16:06 17 / 1 5 2  3  4 1 1/3 2  /  - 2  SSRIs 5-  TIA 1 1 1 TCA 1 (TYPICAL CASE AND COMMENTS) 49  1 1 1 10 BP 158/90mmHg HR 90  / 1 TIA 1 2 5 175/105mmHg 20 94 kg 173 cm BP160/90mmHg HR 98  / 1 2 40 TIA 6.5mmol/L  (+) CT  0 2.38mmol/L  3  3 5.84mmol/L 3 Ｃｈｐ　１７．ｐ６５  153 50 2009 100mg 500mL 20% 2009-4-15, 16:06  250mL  153