ESSEN评分与脑卒中.ppt

An International, Prospective Observational Study in Subjects at Risk of Atherothrombotic Events in an Outpatient Setting GLB.CLO.06.02.06 Australia: 2,872 Latin America: 1,931 Brazil: 441 Chile: 253 Mexico: 899 Interlatina?: 338 Middle East: 846 Israel: 379 Kingdom of Saudi Arabia: 198 Lebanon: 120 United Arab Emirates: 149 Europe: 23,542 Austria: 1,588 Lithuania: 99 Belgium: 383 The Netherlands: 324 Bulgaria: 996 Portugal: 218 Denmark: 422 Romania: 2,009 Finland: 311 Russia: 999 France: 4,592 Spain: 2,515 Germany: 5,521 Switzerland: 695 Greece: 699 Ukraine: 596 Hungary: 957 United Kingdom: 618 North America: 27,746 Canada: 1,976 USA: 25,770 Thailand: 515 Taiwan: 1,057 South Korea: 505 Singapore: 880 Philippines: 1,039 Malaysia: 525 Indonesia: 499 Hong Kong: 175 China: 708 Asia: 10,951 Japan: 5,048 ?Interlatina includes Panama, Costa Rica, Dominican Republic, Ecuador, Guatemala and Peru *Data shown may differ slightly from published abstracts owing to a subsequent database lock. 1. Bhatt DL et al, on behalf of the REACH Registry Investigators.JAMA 2006; 295(2): 180-189. Stroke. 2009;40:350-354. Copyright ?2008 BMJ Publishing Group Ltd. Weimar, C et al. J Neurol Neurosurg Psychiatry 2008;79:1339-1343 Copyright ?2008 BMJ Publishing Group Ltd. Weimar, C et al. J Neurol Neurosurg Psychiatry 2008;79:1339-1343 危险因素或疾病 分数 年龄65－75岁 1 年龄75岁 2 高血压 1 糖尿病 1 既往心肌梗死 1 其他心血管病（除心肌梗死和房颤） 1 周围血管病 1 吸烟 1 除本次事件之外的既往TIA或缺血性卒中 1 JNNP 2008;(6) 0 1 2 3 4 5 6 7 8 9 极高危 高危：卒中危险?4％ 低危：卒中危险4％ JNNP 2008;(6) 基于CAPRIE试验卒中亚组的卒中预测模型1 危险因素 分值 65岁 0 65~75岁 1 75岁 2 高血压 1 糖尿病 1 既往MI 1 其他心血管疾病（除外心房颤动和MI） 1 PAD 1 吸烟者 1 既往缺血性卒中/TIA史 1 最高分值 9 1. CAPRIE Steering Committee. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). Lancet 1996;348:1329-1339 ESRS : Essen Stroke Risk Score Essen卒中风险量表1 ≥3为高危患者， 卒中风险4%/年 需要更强的抗血小板药物 踝部筋伤 教学目的 熟悉跟腱损伤的病因病机、诊查要点及治疗方法。 掌握踝关节扭挫伤、跟痛症的病因病机、诊查要点及治疗方法。 教学重点和难点 难点——跟痛症的病因病机，踝关节扭挫伤的鉴别诊断； 重点——踝关节扭挫伤、跟痛症的病因病机、诊查