心源性脑栓塞诊断进展课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,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,4,CETF( Cerebral embolism Task Force)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2000203年12,085急性脑梗死中,心源,性脑梗死占27.1%,CETF( Cerebral embolism Task F,5,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,101,心源性脑栓塞诊断进展课件,102,心源性脑栓塞诊断进展课件,103,心源性脑栓塞诊断进展课件,104,心源性脑栓塞诊断进展课件,105,心源性脑栓塞诊断进展课件,106,心源性脑栓塞诊断进展课件,107,