医院神经内科脑梗死专题讲座ppt课件.ppt

脑梗死 cerebral infarction;定义;Stern: Massachusetts General Hospital Comprehensive Clinical Psychiatry ;脑的动脉系统;椎基底动脉系统 (后循环) vertebrobasilar artery system 椎动脉 vertebral artery (VA) 基底动脉 basilar artery (BA) 大脑后动脉 posterior cerebral artery(PCA) ;不幸罹患卒中的名人;在我国，每12秒钟就有1位卒中新发患者，每21秒钟就有1人死于卒中;150万～200万/年新发脑卒中病例；年发病率(116～219)/10万人；年死亡率(58～42)/10万人；我国现存脑血管病患者700余万人约70％为缺血性脑卒中 ;Chinese ischemic stroke subclassification S. Gao1, Y. J. Wang2*, A. D. Xu3, Y. S. Li4 and D. Z. Wang5 1 Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China 2 Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China 3 Department of Neurology, The First Affiliated Hospital of Jinan University, Guangzhou, China 4 Department of Neurology, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China 5 Illinois Neurological Institute Stroke Network, OSF Healthcare Systems, Department of Neurology, University of Illinois College of Medicine at Peoria, Peoria, IL, USA Accurate classification of stroke has significant impact on patient care and conduction of stroke clinical trials. The current systems such as TOAST, SSS-TOAST, Korean TOAST, and A–S–C–O have limitations. With the advent of new imaging technology, there is a need to have a more accurate stroke subclassification system. Chinese ischemic stroke subclassification (CISS) system is a new two step system aims at the etiology and then underlying mechanism of a stroke. The first step classify stroke into five categories: large artery atherosclerosis (LAA), including atherosclerosis of aortic arch and intra-/extracranial large arteries, cardiogenic stroke, penetrating artery disease, other etiology, and undetermined etiology. The second step is to further classify the underlying mechanism of ischemic stroke from the intracranial and extracranial LAA into the parent artery (plaque or thrombosis) occludin