{"id":39784,"date":"2018-08-30T01:00:00","date_gmt":"2018-09-17T06:35:15","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/2018\/09\/17\/4-%e5%a4%a7%e5%8e%9f%e5%9b%a0%e9%80%a0%e6%88%90%e6%80%a5%e6%80%a7%e8%84%91%e6%a2%97%e8%a1%80%e7%ae%a1%e6%a3%80%e6%9f%a5%e9%98%b4%e6%80%a7\/"},"modified":"2018-09-17T14:35:19","modified_gmt":"2018-09-17T06:35:19","slug":"4-%e5%a4%a7%e5%8e%9f%e5%9b%a0%e9%80%a0%e6%88%90%e6%80%a5%e6%80%a7%e8%84%91%e6%a2%97%e8%a1%80%e7%ae%a1%e6%a3%80%e6%9f%a5%e9%98%b4%e6%80%a7","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/39784\/","title":{"rendered":"4 \u5927\u539f\u56e0\u9020\u6210\u6025\u6027\u8111\u6897\u8840\u7ba1\u68c0\u67e5\u9634\u6027"},"content":{"rendered":"
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3. \u5c0f\u52a8\u8109\u95ed\u585e\u6027\u5352\u4e2d<\/p>\n


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4. \u5176\u4ed6\u539f\u56e0<\/p>\n


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\u9ad8\u51dd\u72b6\u6001\uff1a\u9664\u4e86\u8840\u6db2\u7cfb\u7edf\u672c\u8eab\u5bfc\u81f4\u7684\uff0c\u8fd8\u6709\u80bf\u7624\uff0c\u6297\u51dd\u8102\u6297\u4f53\u7efc\u5408\u5f81\uff0c\u53e3\u670d\u907f\u5b55\u836f\uff0c\u6bd2\u54c1\uff0c\u8fd8\u6709\u611f\u67d3\u6027\u75be\u75c5\uff08\u7ec6\u83cc\uff0c\u75c5\u6bd2\uff0c\u771f\u83cc\u751a\u81f3\u5bc4\u751f\u866b\u7684\u611f\u67d3\u7b49\u7b49\uff0c\u53ef\u4ee5\u8bf1\u5bfc\u4fc3\u51dd\u72b6\u6001\uff09\u7b49\u7b49\u3002<\/p>\n


<\/p>\n

\u9057\u4f20\u6027\u75be\u75c5\uff1a\u4f34\u76ae\u8d28\u4e0b\u6897\u6b7b\u548c\u767d\u8d28\u8111\u75c5\u7684\u5e38\u67d3\u8272\u4f53\u663e\u6027\u9057\u4f20\u6027\u8111\u52a8\u8109\u75c5\uff08CADASIL\uff09\u662f\u6700\u5e38\u89c1\u7684\u9057\u4f20\u6027\u8111\u5c0f\u8840\u7ba1\u75c5\uff0c\u53ef\u5f15\u8d77\u8154\u9699\u6027\u8111\u6897\u6b7b\u3001\u76ae\u8d28\u4e0b\u75f4\u5446\u3001\u60c5\u611f\u969c\u788d\u548c\u504f\u5934\u75db\u3002\u672c\u75c5\u4e3b\u8981\u7531 NOTCH3 \u57fa\u56e0\u7a81\u53d8\u5bfc\u81f4\uff0c\u901a\u5e38\u5f71\u54cd\u5e74\u8f7b\u4eba\uff0c\u7f3a\u8840\u6027\u5352\u4e2d\u5e38\u53d1\u751f\u5728 30\uff5e60 \u5c81\u4e4b\u95f4\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u4ee5\u4e0a\u539f\u56e0\u5bfc\u81f4\u7684\u5c0f\u7684\u8840\u7ba1\u6813\u585e\uff0c\u5747\u4f1a\u5f97\u51fa\u8840\u7ba1\u7b5b\u67e5\u9634\u6027\u7684\u7ed3\u8bba\u3002<\/p>\n


<\/p>\n

5. \u4e0d\u660e\u539f\u56e0<\/p>\n


<\/p>\n

\u672a\u53d1\u73b0\u80fd\u89e3\u91ca\u672c\u6b21\u7f3a\u8840\u6027\u5352\u4e2d\u7684\u75c5\u56e0\u3002<\/p>\n


<\/p>\n

\n
\n
\n
\n
\n
\n
\n

\u5206\u4ee5\u4e0b\u4e09\u79cd\u60c5\u51b5\uff1a<\/p>\n


<\/p>\n

\u591a\u75c5\u56e0\uff1a\u53d1\u73b0\u4e24\u79cd\u4ee5\u4e0a\u75c5\u56e0\uff0c\u4f46\u96be\u4ee5\u786e\u5b9a\u54ea\u4e00\u79cd\u4e0e\u8be5\u6b21\u5352\u4e2d\u6709\u5173<\/p>\n


<\/p>\n

\u65e0\u786e\u5b9a\u75c5\u56e0\uff1a\u672a\u53d1\u73b0\u786e\u5b9a\u7684\u75c5\u56e0\uff0c\u6216\u6709\u53ef\u7591\u75c5\u56e0\u4f46\u8bc1\u636e\u4e0d\u591f\u5f3a\uff0c\u9664\u975e\u518d\u505a\u66f4\u6df1\u5165\u7684\u68c0\u67e5\u3002<\/p>\n


<\/p>\n

\u68c0\u67e5\u6b20\u7f3a\uff1a\u5e38\u89c4\u8840\u7ba1\u5f71\u50cf\u6216\u5fc3\u810f\u68c0\u67e5\u90fd\u672a\u80fd\u5b8c\u6210\uff0c\u96be\u4ee5\u786e\u5b9a\u75c5\u56e0\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u4e0d\u660e\u539f\u56e0\u5176\u4e2d\u4e00\u6761\u662f\u6307\u68c0\u67e5\u7684\u6b20\u7f3a\uff0c\u6240\u4ee5\u5728\u672a\u5b8c\u5584\u76f8\u5173\u68c0\u67e5\u7684\u524d\u63d0\u4e0b\u4ea6\u53ef\u80fd\u5f97\u51fa\u8840\u7ba1\u9634\u6027\u8111\u6897\u7684\u7ed3\u8bba\u3002<\/p>\n


<\/p>\n

 \u518d\u6765\u770b\u770b\u5176\u4ed6\u53ef\u80fd\u7684\u539f\u56e0 <\/strong><\/span><\/p>\n


<\/p>\n

1. \u4e0d\u4f34\u9885\u5185\/\u5916\u52a8\u8109\u72ed\u7a84\u6216\u95ed\u585e\u7684\u7cfb\u7edf\u6027\u4f4e\u704c\u6ce8\uff1a\u5206\u6c34\u5cad\u6897\u585e\u7684\u4e00\u79cd\u7c7b\u578b<\/p>\n


<\/p>\n

\n
\n
\n
\n
\n
\n
\n

\u4e34\u5e8a\u7279\u70b9\uff1a<\/p>\n


<\/p>\n

\u8111\u8840\u6d41\u704c\u6ce8\u7684\u8fb9\u7f18\u533a\uff0c\u4f9b\u8840\u52a8\u8109\u591a\u4e3a\u7ec8\u672b\u52a8\u8109\uff0c\u7ba1\u5f84\u7ec6\uff0c\u52a8\u8109\u543b\u5408\u7f51\u8f83\u8111\u5185\u5176\u4ed6\u90e8\u4f4d\u5c11\uff0c\u5176\u8840\u6d41\u704c\u6ce8\u6613\u53d7\u8840\u538b\u53ca\u6709\u6548\u5faa\u73af\u8840\u5bb9\u91cf\u7684\u5f71\u54cd\uff0c\u5bf9\u7f3a\u8840\u5c24\u4e3a\u654f\u611f\uff0c\u4e00\u65e6\u8840\u538b\u964d\u4f4e\u5373\u53ef\u51fa\u73b0\u75c7\u72b6\u3002<\/p>\n


<\/p>\n

\u5bf9\u4e8e\u6d89\u53ca\u8840\u6db2\u52a8\u529b\u5b66\u673a\u5236\u7684\u75c5\u53f2\u4e88\u4ee5\u7279\u522b\u5173\u6ce8\uff0c\u4f8b\u5982\uff0c\u60a3\u8005\u4ece\u4ef0\u5367\u4f53\u4f4d\u8f6c\u6210\u5750\u4f4d\uff0c\u6216\u8fdb\u884c\u4f53\u80b2\u953b\u70bc\u3001\u8fdb\u98df\u3001\u54b3\u55fd\u3001Valsalva \u52a8\u4f5c\u65f6\uff0c\u964d\u538b\u836f\u7684\u8c03\u6574\u6216\u589e\u91cf\u5bfc\u81f4\u7684\u4f4e\u8840\u538b\uff0c\u6216\u5176\u4ed6\u836f\u7269\u7684\u526f\u4f5c\u7528\uff0c\u4ee5\u53ca\u9ebb\u9189\u671f\u95f4\uff08\u7279\u522b\u662f\u5fc3\u8840\u7ba1\u624b\u672f\u671f\u95f4\uff09\uff0c\u6216\u51fa\u8840\u3001\u8d2b\u8840\u5f15\u8d77\u7684\u8840\u5bb9\u91cf\u4e0d\u8db3\u7b49\u8840\u6d41\u52a8\u529b\u5b66\u6539\u53d8\u7684\u56e0\u7d20\u3002<\/p>\n


<\/p>\n

\u5728\u5206\u6c34\u5cad\u6897\u6b7b\u53d1\u4f5c\u65f6\uff0c\u60a3\u8005\u5e38\u51fa\u73b0\u610f\u8bc6\u4e27\u5931\u800c\u4e0d\u4f34\u5c40\u7076\u6027\u75c7\u72b6\u3002\u60a3\u8005\u5e38\u5e38\u4e3b\u8bc9\u6b64\u524d\u6709\u77ed\u6682\u6027\u8111\u7f3a\u8840\u53d1\u4f5c\u5f62\u5f0f\u7684\u75c7\u72b6\uff0c\u5e76\u4f34\u6709\u4e00\u4e9b\u5177\u6709\u63d0\u793a\u4f5c\u7528\u7684\u4e34\u5e8a\u8868\u73b0\uff0c\u5305\u62ec\u540c\u65f6\u53d1\u751f\u9ed1\u77c7\u548c\u548c\u5bf9\u4fa7\u8fd0\u52a8\u969c\u788d\uff0c\u6216\u5bf9\u4fa7\u80a2\u4f53\u7684\u4e0d\u81ea\u4e3b\u8fd0\u52a8\u7b49\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u6b64\u79cd\u5206\u6c34\u5cad\u6897\u585e\u56e0\u4e3a\u4e0d\u4f34\u6709\u9885\u5185\u5916\u8840\u7ba1\u7684\u72ed\u7a84\/\u95ed\u585e\uff0c\u56e0\u6b64\u53ef\u4ee5\u51fa\u73b0\u8840\u7ba1\u7b5b\u67e5\u9634\u6027\u7684\u7ed3\u8bba\u3002<\/p>\n


<\/p>\n

2. \u53ef\u9006\u6027\u8111\u8840\u7ba1\u6536\u7f29\u7efc\u5408\u5f81\uff08RCVS\uff09<\/p>\n


<\/p>\n

\n
\n
\n
\n
\n
\n
\n

\u4e3b\u8981\u4e34\u5e8a\u8868\u73b0\uff1a<\/p>\n


<\/p>\n

\u96f7\u51fb\u6837\u5934\u75db<\/p>\n


<\/p>\n

\u90e8\u5206\u60a3\u8005\u5934\u75db\u540c\u65f6\u4f34\u6709\u795e\u7ecf\u529f\u80fd\u7f3a\u635f\u75c7\u72b6\uff0c\u5305\u62ec\u80a2\u4f53\u65e0\u529b\u3001\u5171\u6d4e\u5931\u8c03\u3001\u89c6\u89c9\u75c7\u72b6\uff08\u754f\u5149\u3001\u504f\u76f2\u3001\u53ca\u5931\u660e\uff09\u3001\u6784\u97f3\u969c\u788d\u7b49\u3002\u90e8\u5206\u60a3\u8005\u53ef\u51fa\u73b0\u766b\u75eb\u53d1\u4f5c\u3002<\/p>\n


<\/p>\n

RCVS \u5e38\u5e76\u53d1\u8111\u51fa\u8840\u3001\u5927\u8111\u534a\u7403\u51f8\u9762\u86db\u7f51\u819c\u4e0b\u8154\u51fa\u8840\u3001\u53ef\u9006\u6027\u540e\u90e8\u767d\u8d28\u8111\u75c5\u7efc\u5408\u5f81\u3001\u8111\u6c34\u80bf\u7b49\uff0c\u800c\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u4e3a\u6700\u5e38\u89c1\u5e76\u53d1\u75c7\uff0c\u5f80\u5f80\u51fa\u73b0\u4e8e\u53d1\u75c5 2 \u5468\u5185\uff0c\u5176\u4ed6\u5e76\u53d1\u75c7\u591a\u5728\u53d1\u75c5 1 \u5468\u5185\u51fa\u73b0\u3002<\/p>\n


<\/p>\n

\u5f71\u50cf\u5b66\u8868\u73b0\uff1a<\/p>\n


<\/p>\n

\u53ef\u89c1 DWI \u9ad8\u4fe1\u53f7\uff0c\u4e00\u822c\u4e0d\u80fd\u7528\u5355\u4e00\u8840\u7ba1\u89e3\u91ca\uff0c\u5e38\u4e8e\u540e\u90e8\u8111\u7ec4\u7ec7\u53ca\u5206\u6c34\u5cad\u533a\u51fa\u73b0\uff0c\u53ef\u4f34\u968f RPLS \u8868\u73b0\uff1b<\/p>\n


<\/p>\n

\u53ef\u89c1\u5c40\u9650 1\uff5e3 \u4e2a\u8111\u6c9f\u5185 cSAH\uff1b<\/p>\n


<\/p>\n

MRA\u3001CTA \u6216 DSA \u89c1\u9885\u5185\u4e3b\u5e72\u8840\u7ba1\u6216\u5206\u652f\u8840\u7ba1\u5448\u4e32\u73e0\u6837\u6539\u53d8\u3002DSA \u76ee\u524d\u4ecd\u4e3a\u91d1\u6807\u51c6\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

MRA\u3001CTA \u5bf9\u5c0f\u8840\u7ba1\u7684\u663e\u793a\u51c6\u786e\u6027\u8f83 DSA \u5dee\uff0c\u53ef\u80fd\u51fa\u73b0\u5047\u9634\u6027\u3002\u5e76\u4e14\u8840\u7ba1\u9020\u5f71\u65b9\u9762\u7684\u8840\u7ba1\u6536\u7f29\u53d8\u5316\u53ef\u80fd\u5ef6\u8fdf\u81f3\u9996\u6b21\u9739\u96f3\u6837\u5934\u75db\u540e\u7684 3 \u5468\u624d\u51fa\u73b0\u3002\u6240\u4ee5\u5728\u6b64\u671f\u95f4\u6216\u672a\u884c DSA \u68c0\u67e5\u65f6\u53ef\u80fd\u5f97\u51fa\u8840\u7ba1\u9634\u6027\u8111\u6897\u7684\u7ed3\u8bba\u3002<\/p>\n


<\/p>\n

3.  \u975e\u8840\u7ba1\u6027\u75be\u75c5<\/p>\n


<\/p>\n

\n
\n
\n
\n
\n
\n
\n

\u591a\u53d1\u6027\u786c\u5316<\/strong>\u662f\u4e00\u79cd\u4ee5\u4e2d\u67a2\u795e\u7ecf\u7cfb\u7edf\u767d\u8d28\u708e\u6027\u8131\u9ad3\u9798\u4e3a\u4e3b\u8981\u75c5\u7406\u7279\u70b9\u7684\u81ea\u8eab\u514d\u75ab\u75c5\u3002<\/p>\n


<\/p>\n

\u597d\u53d1\u4e8e\u9752\u58ee\u5e74\uff0e\u5973\u6027\u66f4\u591a\u89c1\u3002\u5927\u591a\u6570\u60a3\u8005\u8868\u73b0\u4e3a\u53cd\u590d\u53d1\u4f5c\u7684\u795e\u7ecf\u529f\u80fd\u969c\u788d\uff0c\u591a\u6b21\u7f13\u89e3\u590d\u53d1\uff0c\u75c5\u60c5\u6bcf\u51b5\u6108\u4e0b\u3002\u6700\u5e38\u7d2f\u53ca\u7684\u90e8\u4f4d\u4e3a\u8111\u5ba4\u5468\u56f4\u767d\u8d28\uff0c\u89c6\u795e\u7ecf\uff0c\u810a\u9ad3\uff0c\u8111\u5e72\u548c\u5c0f\u8111\u3002<\/p>\n


<\/p>\n

\u4e3b\u8981\u7279\u70b9\uff1a\u75c7\u72b6\u4f53\u5f81\u7684\u7a7a\u95f4\u591a\u53d1\u6027\u548c\u75c5\u7a0b\u7684\u65f6\u95f4\u591a\u53d1\u6027\u3002<\/p>\n


<\/p>\n

\u5e38\u89c1\u75c7\u72b6\uff1a\u89c6\u795e\u7ecf\u529f\u80fd\u969c\u788d\u3001\u590d\u89c6\u3001\u80a2\u4f53\u611f\u89c9\u969c\u788d\u3001\u80a2\u4f53\u8fd0\u52a8\u969c\u788d\u3001\u5171\u6d4e\u5931\u6e0a\u3001\u8180\u80f1\u6216\u76f4\u80a0\u529f\u80fd\u969c\u788d\u7b49\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
\n
\n


<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\u5982\u540c\u6211\u4eec\u4e0a\u8ff0\u7684\u75c5\u4f8b 2\uff0c\u60a3\u8005\u6709\u591a\u53d1\u7684\u6897\u585e\u75c5\u7076\uff0c\u4f46\u662f\u8840\u7ba1\u7b5b\u67e5\u4e3a\u9634\u6027\u3002<\/p>\n


<\/p>\n

4.  \u5f15\u8d77\u6025\u6027\u6813\u585e\u7684\u5c0f\u8840\u6813\u81ea\u6eb6\uff0c\u8840\u7ba1\u518d\u901a\uff0c\u56e0\u6b64\u8840\u7ba1\u68c0\u67e5\u672a\u67e5\u53ca\u76f8\u5173\u8840\u7ba1\u5f02\u5e38\u3002<\/p>\n


<\/p>\n

5.  MRA \u548c CTA \u53ef\u663e\u793a\u9885\u5185\u5927\u8840\u7ba1\u8fd1\u7aef\u95ed\u585e\u6216\u72ed\u7a84\uff0c\u4f46\u5bf9\u8fdc\u7aef\u6216\u5206\u652f\u663e\u793a\u4e0d\u6e05\u3002MRA \u548c CTA \u90fd\u53ef\u63d0\u4f9b\u6709\u5173\u8840\u7ba1\u95ed\u585e\u6216\u72ed\u7a84\u7684\u4fe1\u606f\u3002\u4ee5 DSA \u4e3a\u53c2\u8003\u6807\u51c6\uff0cMRA \u53d1\u73b0\u690e\u52a8\u8109\u53ca\u9885\u5916\u52a8\u8109\u72ed\u7a84\u7684\u654f\u611f\u5ea6\u548c\u7279\u5f02\u5ea6\u7ea6\u4e3a 70%\uff5e100%\u3002<\/p>\n


<\/p>\n

 \u603b\u7ed3 <\/span><\/strong><\/span><\/p>\n


<\/p>\n

\u53ef\u80fd\u4ea7\u751f\u6025\u6027\u6897\u585e\u7076\u800c\u8840\u7ba1\u68c0\u67e5\u9634\u6027\u7684\u539f\u56e0<\/p>\n


<\/p>\n

1.  \u5c0f\u8840\u7ba1\u75c5\u53d8<\/p>\n


<\/p>\n

2.  \u975e\u8840\u7ba1\u75c5\u53d8<\/p>\n


<\/p>\n

3.  \u8840\u6813\u81ea\u6eb6\uff0c\u8840\u7ba1\u518d\u901a\uff0c\u8840\u7ba1\u53ef\u9006\u6027\u7684\u6536\u7f29<\/p>\n


<\/p>\n

4.  \u68c0\u67e5\u624b\u6bb5\u7684\u5c40\u9650\u6027\u4ee5\u53ca\u76f8\u5173\u68c0\u67e5\u7684\u4e0d\u5b8c\u5584<\/p>\n


<\/p>\n

\u4f5c\u8005\uff1a\u65b9\u742a\uff0c\u90ed\u5411\u7ea2\uff0c\u9648\u5148\u4e50<\/p>\n


<\/p>\n

\u63a8\u8350\u9605\u8bfb\uff1a<\/strong><\/span>
<\/p>\n


<\/p>\n

\u5934\u6655\u548c\u7729\u6655\uff0c\u8fd9\u4e9b\u6982\u5ff5\u7406\u6e05\u4e86\u5417\uff1f<\/a>
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\u7f16\u8f91 | \u738b\u5f18
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\u6295\u7a3f\u53ca\u5408\u4f5c | wanghong@dxy.cn<\/span>
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\u2b07\ufe0f<\/span>\u2b07\ufe0f<\/span>\u2b07\ufe0f<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"

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