{"id":6355,"date":"2018-06-09T01:00:00","date_gmt":"2018-07-27T09:13:58","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/2018\/07\/27\/%e5%a6%82%e4%bd%95%e6%8f%90%e9%ab%98%e8%84%91%e6%a2%97%e6%ad%bb%e8%a1%80%e7%ae%a1%e5%86%85%e6%b2%bb%e7%96%97%e5%86%8d%e9%80%9a%e7%8e%87%ef%bc%9f%e7%9c%8b%e7%9c%8b%e6%9c%80%e6%96%b0%e5%85%b1%e8%af%86\/"},"modified":"2018-07-27T17:14:00","modified_gmt":"2018-07-27T09:14:00","slug":"%e5%a6%82%e4%bd%95%e6%8f%90%e9%ab%98%e8%84%91%e6%a2%97%e6%ad%bb%e8%a1%80%e7%ae%a1%e5%86%85%e6%b2%bb%e7%96%97%e5%86%8d%e9%80%9a%e7%8e%87%ef%bc%9f%e7%9c%8b%e7%9c%8b%e6%9c%80%e6%96%b0%e5%85%b1%e8%af%86","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/6355\/","title":{"rendered":"\u5982\u4f55\u63d0\u9ad8\u8111\u6897\u6b7b\u8840\u7ba1\u5185\u6cbb\u7597\u518d\u901a\u7387\uff1f\u770b\u770b\u6700\u65b0\u5171\u8bc6\u600e\u4e48\u8bf4"},"content":{"rendered":"
\n

\u8fd1\u671f\uff0c\u7531\u7f8e\u56fd\u795e\u7ecf\u5916\u79d1\u533b\u5e08\u534f\u4f1a\uff0c\u7f8e\u56fd\u653e\u5c04\u533b\u5e08\u534f\u4f1a\uff0c\u6b27\u6d32\u795e\u7ecf\u653e\u5c04\u5b66\u4f1a\uff0c\u6b27\u6d32\u5352\u4e2d\u7ec4\u7ec7\u7b49\u591a\u5b66\u79d1\u8054\u5408\u53d1\u5e03\u4e86\u4e00\u9879\u6709\u5173\u6025\u6027\u7f3a\u8840\u6027\u5352\u4e2d\u8840\u7ba1\u5185\u6cbb\u7597\u8d28\u91cf\u6539\u8fdb\u7684\u5171\u8bc6\u7533\u660e\uff0c\u9488\u5bf9\u89c4\u8303\u5316\u8840\u7ba1\u5185\u6cbb\u7597\u7ed9\u4e88\u4e86\u5b9e\u7528\u6027\u7684\u5efa\u8bae\u3002\u8be5\u5171\u8bc6\u53d1\u8868\u5728\u8fd1\u671f\u7684 AJNR AM J Neuroradiol \u6742\u5fd7\u4e2d\u3002<\/p>\n


<\/p>\n

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

\u91cd\u8981\u7684\u5b9a\u4e49<\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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


1. \u7f3a\u8840\u6027\u4e2d\u8111\u5352\u4e2d\uff1a<\/strong><\/strong><\/p>\n


<\/p>\n

\u5728\u660e\u786e\u7684\u8840\u7ba1\u5206\u5e03\u533a\u51fa\u73b0\u8111\u3001\u810a\u9ad3\u6216\u89c6\u7f51\u819c\u5c40\u7076\u6027\u7f3a\u8840\u635f\u4f24\u7684\u75c5\u7406\u5b66\u3001\u5f71\u50cf\u5b66\u6216\u5176\u4ed6\u5ba2\u89c2\u7684\u8bc1\u636e\uff1b\u6216\u5177\u6709\u8111\u3001\u810a\u9ad3\u6216\u89c6\u7f51\u819c\u5c40\u7076\u6027\u7f3a\u8840\u7684\u4e34\u5e8a\u8bc1\u636e\uff0c\u75c7\u72b6\u81f3\u5c11\u6301\u7eed 24 \u5c0f\u65f6\uff0c\u6216\u51fa\u73b0\u6b7b\u4ea1\uff0c\u4e14\u6392\u9664\u5176\u4ed6\u539f\u56e0\u6240\u81f4\u3002<\/p>\n


<\/p>\n

2. Door to Event \u65f6\u95f4\uff1a<\/strong><\/p>\n


<\/p>\n

\u5b9a\u4e49\u4e3a\u95e8\u8bca\u60a3\u8005\u5230\u8fbe\u6025\u8bca\u5ba4\u7684\u65f6\u95f4\u6216\u4f4f\u9662\u60a3\u8005\u9996\u6b21\u53d1\u73b0\u5352\u4e2d\u7684\u65f6\u95f4\u3002<\/p>\n


<\/p>\n

3. Time to Thrombus\uff1a<\/strong><\/p>\n


<\/p>\n

\u5b9a\u4e49\u4e3a\u5f00\u59cb\u8840\u7ba1\u5185\u6eb6\u6813\u8f93\u6ce8\u6216\u5728\u76ee\u6807\u8840\u7ba1\u5185\u9996\u6b21\u653e\u7f6e\u673a\u68b0\u8bbe\u5907\u7684\u65f6\u95f4\u3002<\/p>\n


<\/p>\n

4. \u6210\u529f\u7684\u8840\u8fd0\u91cd\u5efa\uff1a<\/strong><\/p>\n


<\/p>\n

\u6210\u529f\u7684\u8840\u8fd0\u91cd\u5efa\u5b9a\u4e49\u4e3a\u4e4b\u524d\u95ed\u585e\u7684\u8840\u7ba1\u8282\u6bb5\u8fbe\u5230\u6539\u826f\u7684\u8111\u6897\u585e\u6eb6\u6813\u6cbb\u7597\uff08mTICI\uff09\u5206\u7ea7 2b \u7ea7\u6216 3 \u7ea7\uff08\u8868 1\uff09\u3002<\/p>\n


<\/p>\n

\u8868 1 mTICI \u8840\u7ba1\u518d\u901a\u91cf\u8868\u8bc4\u5206    <\/strong><\/span><\/p>\n

\"\u5982\u4f55\u63d0\u9ad8\u8111\u6897\u6b7b\u8840\u7ba1\u5185\u6cbb\u7597\u518d\u901a\u7387\uff1f\u770b\u770b\u6700\u65b0\u5171\u8bc6\u600e\u4e48\u8bf4\"<\/p>\n


<\/p>\n

5. \u75c7\u72b6\u6027\u9885\u5185\u51fa\u8840\uff1a<\/strong><\/p>\n


<\/p>\n

\u5305\u62ec II \u578b\u8111\u5b9e\u8d28\u6027\u8840\u80bf\uff08\u6839\u636e SITS-MOST \u5b9a\u4e49\uff09\u6216\u86db\u7f51\u819c\u4e0b\u8154\u51fa\u8840\uff0c\u6cbb\u7597 36 \u5c0f\u65f6\u5185\u51fa\u73b0\u795e\u7ecf\u7cfb\u7edf\u75c7\u72b6\u6076\u5316\uff0c\u5bfc\u81f4 NIHSS \u8bc4\u5206>4\uff0c\u6216\u5bfc\u81f4\u6b7b\u4ea1\u3002<\/p>\n


<\/p>\n

6. \u826f\u597d\u4e34\u5e8a\u9884\u540e\uff1a<\/strong><\/p>\n


<\/p>\n

\u5b9a\u4e49\u4e3a\u6cbb\u7597 90 \u5929\u540e\u8bc4\u4f30\u4fee\u8ba2 Rankin \u91cf\u8868\uff08mRS\uff09\u8bc4\u5206\u4e3a 0\uff5e2 \u5206\uff08\u8868 2\uff09\u3002<\/p>\n


<\/p>\n

\u8868 2 mRS \u91cf\u8868\u8bc4\u5206 <\/span>    <\/strong><\/p>\n

\"\u5982\u4f55\u63d0\u9ad8\u8111\u6897\u6b7b\u8840\u7ba1\u5185\u6cbb\u7597\u518d\u901a\u7387\uff1f\u770b\u770b\u6700\u65b0\u5171\u8bc6\u600e\u4e48\u8bf4\"
<\/p>\n


<\/p>\n

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

\u9002\u5e94\u8bc1\u548c\u7981\u5fcc\u8bc1<\/strong><\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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


1. \u5352\u4e2d\u4e25\u91cd\u7a0b\u5ea6\uff1a<\/strong><\/strong><\/p>\n


<\/p>\n

\u4e34\u5e8a\u7814\u7a76\u4e2d\u4ee5 NIHSS \u8bc4\u5206\u4e3a\u754c\u503c\u6765\u8bc4\u4f30\uff0c\u901a\u5e38\u9700\u8981\u8bc4\u5206 \u2265 6\u30018 \u6216 10 \u5206\u3002\u81f3\u5c11 \u2265 6 \u5206\uff0c\u5bf9\u5352\u4e2d\u4e25\u91cd\u7a0b\u5ea6\u7684 NIHSS \u8bc4\u5206\u65e0\u4e0a\u9650\u8981\u6c42\u3002<\/p>\n


<\/p>\n

2. \u65f6\u95f4\uff1a<\/strong><\/p>\n


<\/p>\n

\u5927\u90e8\u5206\u8840\u7ba1\u5185\u6cbb\u7597\u7814\u7a76\u8981\u6c42\u60a3\u8005\u53d1\u75c5\u65f6\u95f4\u5728 6\uff5e8 \u5c0f\u65f6\u5185\u3002<\/p>\n


<\/p>\n

3. \u5f71\u50cf\u5b66\u68c0\u67e5\uff1a<\/strong><\/p>\n


<\/p>\n

\u5e73\u626b CT \u662f\u8840\u7ba1\u5185\u518d\u901a\u6cbb\u7597\u60a3\u8005\u7b5b\u9009\u7684\u91cd\u8981\u624b\u6bb5\uff0c\u53ef\u91c7\u7528 ASPECTS \u8bc4\u5206\u5bf9\u60a3\u8005\u6897\u6b7b\u7076\u4f53\u79ef\u5927\u5c0f\u8fdb\u884c\u8bc4\u4f30\u3002\u7814\u7a76\u663e\u793a ASPECT \u8bc4\u5206 6\uff5e8 \u5206\u6216 9\/10 \u5206\u7684\u60a3\u8005\u8840\u7ba1\u5185\u6cbb\u7597\u83b7\u76ca\u660e\u786e\u3002<\/p>\n


<\/p>\n

4. \u8840\u6813\u90e8\u4f4d\uff1a<\/strong><\/p>\n


<\/p>\n

\u4e34\u5e8a\u7814\u7a76\u8bc1\u5b9e\uff0c\u9888\u5185\u52a8\u8109\u672b\u6bb5\u548c M1 \u6bb5\u95ed\u585e\uff0c\u4f34\u6216\u4e0d\u4f34\u7ecf\u52a8\u8109\u5176\u4ed6\u4e32\u8054\u95ed\u585e\u65f6\uff0c\u53ef\u4ece\u8840\u7ba1\u5185\u6cbb\u7597\u4e2d\u83b7\u76ca\u3002<\/p>\n


<\/p>\n

5. \u5e74\u9f84\uff1a<\/strong><\/p>\n


<\/p>\n

\u5e74\u9f84\u5e76\u4e0d\u662f\u8840\u7ba1\u5185\u6cbb\u7597\u7684\u7edd\u5bf9\u6307\u5f81\u6216\u7981\u5fcc\u8bc1\u3002\u6709\u7814\u7a76\u663e\u793a>80 \u5c81\u60a3\u8005\u4e2d\u8840\u7ba1\u5185\u6cbb\u7597\u7684\u83b7\u76ca\uff0c\u4f46\u5e74\u9f84\u589e\u52a0\u4f1a\u589e\u52a0\u624b\u672f\u64cd\u4f5c\u7684\u96be\u5ea6\u3002<\/p>\n


<\/p>\n

6. \u5185\u79d1\u5408\u5e76\u75be\u75c5\uff1a<\/strong><\/p>\n


<\/p>\n

\u4f34\u6709\u663e\u8457\u51dd\u8840\u529f\u80fd\u5f02\u5e38\uff08\u5982 INR>3.0 \u6216\u5408\u5e76\u4f7f\u7528\u53e3\u670d\u6297\u51dd\u836f\u7269\uff09\u7684\u60a3\u8005\u8fdb\u884c\u8840\u7ba1\u5185\u6cbb\u7597\u7684\u5b89\u5168\u6027\u6570\u636e\u6709\u9650\u3002<\/p>\n


<\/p>\n

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

\u8840\u7ba1\u5185\u6cbb\u7597\u8d28\u91cf\u6539\u8fdb\u5efa\u8bae\u5c0f\u7ed3<\/strong><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

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

<\/strong><\/p>\n

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

1. \u81f3\u5c11 90% \u7b26\u5408\u673a\u6784\u9009\u62e9\u6807\u51c6\uff08\u9002\u5e94\u8bc1\/\u7981\u5fcc\u8bc1\uff09\u7684\u60a3\u8005\u5e94\u63a5\u53d7\u8840\u7ba1\u5185\u6cbb\u7597\u3002<\/p>\n


<\/p>\n

2. 100% \u7684\u60a3\u8005\u9700\u8981\u6700\u5c0f\u5316\u6d41\u7a0b\uff0c\u5e76\u5c06\u7ed3\u679c\u6570\u636e\u8f93\u5165\u673a\u6784\u6216\u56fd\u5bb6\u6570\u636e\u5e93\u3001\u7814\u7a76\u6216\u6ce8\u518c\u8bd5\u9a8c\u3002<\/p>\n


<\/p>\n

3. 75% \u63a5\u53d7\u8840\u7ba1\u518d\u901a\u8bc4\u4f30\u7684\u60a3\u8005\u5e94\u8be5\u5728\u8fbe\u5230 30 \u5206\u949f\u5185\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5\uff0c\u5728\u8bbe\u65bd\u5b8c\u5584\u7684\u6700\u597d\u7684\u5927\u578b\u4e2d\u5fc3\u4e2d\uff0c\u9884\u8ba1\u5728 12 \u5206\u949f\u5185\u5b8c\u6210\u3002<\/p>\n


<\/p>\n

4. 75% \u63a5\u53d7\u8840\u7ba1\u5185\u6cbb\u7597\u7684\u60a3\u8005\u4ece\u6210\u50cf\u5230\u7a7f\u523a\u65f6\u95f4\u5e94 \u2264 110 \u5206\u949f\u3002\u5728\u8bbe\u65bd\u5b8c\u5584\u7684\u6700\u597d\u7684\u5927\u578b\u4e2d\u5fc3\u4e2d\uff0c\u9884\u8ba1\u5728 50 \u5206\u949f\u6216\u66f4\u77ed\u65f6\u95f4\u5185\u5b8c\u6210\u3002<\/p>\n


<\/p>\n

5. \u5bf9\u4e8e\u4ece\u5176\u4ed6\u673a\u6784\u8f6c\u8bca\u4e14\u4e0d\u9700\u8981\u91cd\u590d\u8fdb\u884c\u5f71\u50cf\u5b66\u68c0\u67e5\u7684\u60a3\u8005\uff0c75% \u7684\u60a3\u8005\u4ece\u5c31\u8bca\u5230\u7a7f\u523a\u65f6\u95f4\u5e94 \u2264 80 \u5206\u949f\u3002<\/p>\n


<\/p>\n

6. 70% \u7684\u60a3\u8005\u7406\u60f3\u72b6\u51b5\u4e0b\u5e94\u5728\u52a8\u8109\u7a7f\u523a\u540e\u7684 60 \u5206\u949f\u5185\u8fbe\u5230 mTICI \u8bc4\u5206 \u2264 2b \u7ea7\u3002<\/p>\n


<\/p>\n

7. mTICI \u91cf\u8868\u8bc4\u5206\u5e94\u4f5c\u4e3a\u8bc4\u4f30\u8840\u7ba1\u9020\u5f71\u518d\u704c\u6ce8\u7684\u4e3b\u8981\u91cf\u8868\u3002<\/p>\n


<\/p>\n

8. \u5bf9\u4e8e\u6240\u6709\u8840\u6813\u90e8\u4f4d\uff0c70% \u7684\u60a3\u8005\u5e94\u5728\u6cbb\u7597\u540e\u8fbe\u5230 mTICI \u8bc4\u5206 \u2265 2b\/3 \u7ea7\uff08\u2265 50% \u518d\u704c\u6ce8\uff09\u3002<\/p>\n


<\/p>\n

9. \u81f3\u5c11 90% \u7684\u60a3\u8005\u5728\u624b\u672f\u7ed3\u675f\u540e 36 \u5c0f\u65f6\u5185\u5e94\u63a5\u53d7\u5934\u9885 CT \u6216 MRI \u6210\u50cf\u3002<\/p>\n


<\/p>\n

10. 100% \u7684\u75c7\u72b6\u6027 ICH \u7684\u60a3\u8005\u90fd\u9700\u8981\u8fdb\u884c\u8bc4\u4f30\u3002<\/p>\n


<\/p>\n

11. \u6cbb\u7597\u540e\u51fa\u73b0\u75c7\u72b6\u6027 ICH \u60a3\u8005\u7684\u6bd4\u4f8b\u4e0d\u5e94\u8d85\u8fc7 10%\u3002<\/p>\n


<\/p>\n

12. \u51fa\u73b0\u65b0\u7684\u6813\u585e\u533a\u57df\u7684\u60a3\u8005\u6bd4\u4f8b\u4e0d\u5e94\u8d85\u8fc7 10%\u3002<\/p>\n


<\/p>\n

13. \u5728\u6cbb\u7597\u540e 72 \u5c0f\u65f6\u5185\u6b7b\u4ea1\u7684\u60a3\u8005 100% \u90fd\u9700\u8981\u8fdb\u884c\u8bc4\u4f30\u3002<\/p>\n


<\/p>\n

14. \u6240\u6709\u63a5\u53d7\u6cbb\u7597\u7684\u60a3\u8005\u5728\u51fa\u9662\u65f6\u5747\u9700\u8981\u8bb0\u5f55 NIHSS \u8bc4\u5206\uff0c\u5e76\u5efa\u8bae\u5728 90 \u5929\u65f6\u968f\u8bbf mRS \u8bc4\u5206\uff0c\u81f3\u5c11 90% \u7684\u60a3\u8005\u9700\u8981\u8bb0\u5f55 90 \u5929\u65f6\u7684 mRS \u8bc4\u5206\u3002<\/p>\n


<\/p>\n

15. \u5bf9\u4e8e\u6240\u6709\u6cbb\u7597\u7684\u60a3\u8005\uff0c\u81f3\u5c11\u9700\u8981 30% \u7684\u60a3\u8005\u5728\u6cbb\u7597\u540e 90 \u5929\u662f\u529f\u80fd\u72ec\u7acb\u7684\uff08\u5373 mRS \u8bc4\u5206\u4e3a 0\uff5e2 \u5206\uff09\u3002<\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n


<\/p>\n

\u63d0\u793a\uff1a\u70b9\u51fb\u9605\u8bfb\u539f\u6587\u5373\u53ef\u4e0b\u8f7d\u6307\u5357\u539f\u6587<\/strong>
<\/p>\n


<\/p>\n

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

\u4e16\u754c\u4e0a\u53d6\u6813\u6cbb\u7597\u6280\u672f\u6700\u597d\u7684\u5730\u65b9\u662f\u2026\u2026<\/a><\/h2>\n

\u8111\u5352\u4e2d\u4f1a\u4e0d\u4f1a\u8fdb\u5c55\uff1f\u4e09\u5927\u6307\u6807\u5e2e\u4f60\u9884\u6d4b<\/a><\/h2>\n

\u8fdb\u5165\u7206\u53d1\u671f\uff0c\u8111\u708e\u60a3\u513f\u9700\u8b66\u60d5\u8fd9\u4e2a\u75c5<\/a><\/p>\n


<\/p>\n

\u7f16\u8f91 | \u9648\u73c2\u6960      <\/span>\u9898\u56fe | Shutterstock     <\/span><\/p>\n

\u6295\u7a3f\u53ca\u5408\u4f5c | chenkn@dxy.cn <\/span><\/p>\n

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

\"\u5982\u4f55\u63d0\u9ad8\u8111\u6897\u6b7b\u8840\u7ba1\u5185\u6cbb\u7597\u518d\u901a\u7387\uff1f\u770b\u770b\u6700\u65b0\u5171\u8bc6\u600e\u4e48\u8bf4\"<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n

\n

\u59cb\u53d1\u4e8e\u5fae\u4fe1\u516c\u4f17\u53f7\uff1a \u795e\u7ecf\u65f6\u95f4 <\/p>\n<\/blockquote>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u8fd1\u671f\uff0c\u7531\u7f8e\u56fd\u795e\u7ecf\u5916\u79d1\u533b\u5e08\u534f\u4f1a\uff0c\u7f8e\u56fd\u653e\u5c04\u533b\u5e08\u534f\u4f1a\uff0c\u6b27\u6d32\u795e\u7ecf\u653e\u5c04\u5b66\u4f1a\uff0c\u6b27\u6d32\u5352\u4e2d\u7ec4\u7ec7\u7b49\u591a\u5b66\u79d1\u8054\u5408\u53d1\u5e03\u4e86\u4e00\u9879\u6709\u5173\u6025\u6027\u7f3a […]<\/p>\n","protected":false},"author":1,"featured_media":6356,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/6355"}],"collection":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/comments?post=6355"}],"version-history":[{"count":1,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/6355\/revisions"}],"predecessor-version":[{"id":6360,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/posts\/6355\/revisions\/6360"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media\/6356"}],"wp:attachment":[{"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/media?parent=6355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/categories?post=6355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.05921.net\/index.php\/wp-json\/wp\/v2\/tags?post=6355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}