缺血性卒中的影像及静脉溶栓.pptVIP

MRI：常规MRI早期改变：血管流空效应消失;T2WI/FLAIR：血管内异常信号;T1WI：早期皮质肿胀和灰白质边界分界不清;弥散加权成像(DWI)：发病90min后梗死核心区DWI高信号脑梗死MRA表现MRAPWIDWIPipes→Perfusion→ParenchymaPenumbra?StrokeImaging–4Ps急性脑缺血病溶栓的理论基础VesseloccclusionCoreofinfarctDWIPerfusiondeficitNoTissueatriskMatchT2*Diffusion-PerfusionMatchT2DWICBFTTPVesseloccclusionCoreofinfarctDWIT2*PerfusiondeficitTissueatriskmismatchDiffusion-PerfusionMismatchDWIMTTCBV急性缺血性脑卒中静脉溶栓治疗《中国急性缺血性脑卒中诊治指南2014》《A