颈动脉支架置入治疗围手术期处理.ppt

cause of death. Ministry of Health, People‘s Republic of China. Peking Union Medical University Press 2008Р中国死因顺位Р危险因素的控制Р达标指标Р达标率%Р抗栓治疗РTIA/卒中病人出院时带抗栓药物Р53-80Р卒中单元Р建立卒中单元的医院比例Р18Р高血压Р接受治疗?如果治疗,按照国家指南Р86?27-44Р高脂血症Р接受治疗?如果治疗,按照国家指南Р42?无资料Р心房纤颤Р接受合适的抗栓治疗Р无资料Р颈动脉狭窄Р接受颈动脉内膜剥脱术Р无资料Р吸烟Р给病人戒烟建议?书面戒烟文件?戒烟的比例Р100?67?0Р糖尿病Р接受胰岛素或口服降糖药?尽管治疗,血糖仍然升高Р76?63-69Р脑血管病预防中循证医学的达标率РHolloway RG, Benesch C, Rush SR. Stroke prevention: narrowing the evidence-practice gap. Neurology 2000;54:1899-1906Р左侧MCA,VA起始部狭窄导致左侧后分水岭梗塞Р人们的思考Р2017/8/14Р5РSouthwest HospitalР狭窄和较差的侧枝循环导致的低灌注?复杂的动脉粥样硬化斑块(破裂、斑块内出血或闭塞性斑块形成)?远端血栓栓塞?斑块部位穿支动脉闭塞(颅内动脉狭窄)Р脑血管狭窄导致梗塞的机制Р颈动脉狭窄的治疗РCEA PK CSAРPascal Meier,et al.BMJ,2010,340:467РSTROKE WITHIN 30 DAYSРPascal Meier,et al.BMJ,2010,340:467РDEATH WITHIN 30 DAYSРPascal Meier,et al.BMJ,2010,340:467