心源性脑栓塞诊断进展课件

心源性脑栓塞诊断的进展安徽中医药大学神经病学研究所杨任民心源性脑栓塞诊断的进展1概念脑栓塞是指脑动脉被颅外异常栓子阻塞,引起被闭塞动脉远端灌注区的组织缺血、坏死,同时岀现相应的神经功能障碍。概念2栓子有脂肪栓子、空气栓子、癌栓、医源物体等,但心源性栓子占所有栓子的90%左右,因此NINDS在对脑梗死分类中,将心源性脑栓塞从二级分类提升为一级分类:1,动脉粥样硬化脑血栓2,心源性脑栓塞3,腔隙梗死4,其他:血行动力学障碍引起的脑梗死,如分水岭梗死栓子有脂肪栓子、空气栓子、癌栓、医源物体等,但心3发病率发病率4CETF(CerebralembolismTaskForce)报告(1986)心源性脑栓塞占全体脑梗死的15%~20%J-Music(2000)统计16,922例急性脑梗死中,心源性脑栓塞占218%SSRS统计2000~203年12,085急性脑梗死中,心源性脑梗死占27.1%CETF(CerebralembolismTaskF5心源性脑栓塞诊断进展课件6心源性脑栓塞诊断进展课件7心源性脑栓塞诊断进展课件8心源性脑栓塞诊断进展课件9心源性脑栓塞诊断进展课件10心源性脑栓塞诊断进展课件11心源性脑栓塞诊断进展课件12心源性脑栓塞诊断进展课件13心源性脑栓塞诊断进展课件14心源性脑栓塞诊断进展课件15心源性脑栓塞诊断进展课件16心源性脑栓塞诊断进展课件17心源性脑栓塞诊断进展课件18心源性脑栓塞诊断进展课件19心源性脑栓塞诊断进展课件20心源性脑栓塞诊断进展课件21心源性脑栓塞诊断进展课件22心源性脑栓塞诊断进展课件23心源性脑栓塞诊断进展课件24心源性脑栓塞诊断进展课件25心源性脑栓塞诊断进展课件26心源性脑栓塞诊断进展课件27心源性脑栓塞诊断进展课件28心源性脑栓塞诊断进展课件29心源性脑栓塞诊断进展课件30心源性脑栓塞诊断进展课件31心源性脑栓塞诊断进展课件32心源性脑栓塞诊断进展课件33心源性脑栓塞诊断进展课件34心源性脑栓塞诊断进展课件35心源性脑栓塞诊断进展课件36心源性脑栓塞诊断进展课件37心源性脑栓塞诊断进展课件38心源性脑栓塞诊断进展课件39心源性脑栓塞诊断进展课件40心源性脑栓塞诊断进展课件41心源性脑栓塞诊断进展课件42心源性脑栓塞诊断进展课件43心源性脑栓塞诊断进展课件44心源性脑栓塞诊断进展课件45心源性脑栓塞诊断进展课件46心源性脑栓塞诊断进展课件47心源性脑栓塞诊断进展课件48心源性脑栓塞诊断进展课件49心源性脑栓塞诊断进展课件50心源性脑栓塞诊断进展课件51心源性脑栓塞诊断进展课件52心源性脑栓塞诊断进展课件53心源性脑栓塞诊断进展课件54心源性脑栓塞诊断进展课件55心源性脑栓塞诊断进展课件56心源性脑栓塞诊断进展课件57心源性脑栓塞诊断进展课件58心源性脑栓塞诊断进展课件59心源性脑栓塞诊断进展课件60心源性脑栓塞诊断进展课件61心源性脑栓塞诊断进展课件62心源性脑栓塞诊断进展课件63心源性脑栓塞诊断进展课件64心源性脑栓塞诊断进展课件65心源性脑栓塞诊断进展课件66心源性脑栓塞诊断进展课件67心源性脑栓塞诊断进展课件68心源性脑栓塞诊断进展课件69心源性脑栓塞诊断进展课件70心源性脑栓塞诊断进展课件71心源性脑栓塞诊断进展课件72心源性脑栓塞诊断进展课件73心源性脑栓塞诊断进展课件74心源性脑栓塞诊断进展课件75心源性脑栓塞诊断进展课件76心源性脑栓塞诊断进展课件77心源性脑栓塞诊断进展课件78心源性脑栓塞诊断进展课件79心源性脑栓塞诊断进展课件80心源性脑栓塞诊断进展课件81心源性脑栓塞诊断进展课件82心源性脑栓塞诊断进展课件83心源性脑栓塞诊断进展课件84心源性脑栓塞诊断进展课件85心源性脑栓塞诊断进展课件86心源性脑栓塞诊断进展课件87心源性脑栓塞诊断进展课件88心源性脑栓塞诊断进展课件89心源性脑栓塞诊断进展课件90心源性脑栓塞诊断进展课件91心源性脑栓塞诊断进展课件92心源性脑栓塞诊断进展课件93心源性脑栓塞诊断进展课件94心源性脑栓塞诊断进展课件95心源性脑栓塞诊断进展课件96心源性脑栓塞诊断进展课件97心源性脑栓塞诊断进展课件98心源性脑栓塞诊断进展课件99心源性脑栓塞诊断进展课件100心源性脑栓塞诊断进展课件1