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  • 鼾症病例回顾(一) “鼾声二人组

    weifangyouyiduilinju,zhushangxialou,zheiduilinjuyougetebiezhichu,jiushiliangwei...

  • 就医指南
    典型患者: 青年人“脑卒中”发病更凶险

        jinri,renminyiyuanshenjingwaikeshouzhiduoliqingniannaozuzhonghuanzhe。zhuanjiatishi,naozuzhongbushilaonianrende“zhuanli”。qingniannaozuzhonghuanzheqibingji,bingyinfuza,liuyouhouyizhengdehuanzhebingchengzhang,shenghuozhiliangshoudaoyingxiang,zishenxinliyalida,jiatingfudanzhong,suoyi,bixutigaojingti。

    熬夜 三高 “撂倒”年轻人群

    jinnian35suidenianqingitgongchengshi,congbuxiyanhejiu,haimeitianqizixingcheshangxiabanduanlianshenti。zaiyitianshangbantuzhong,turanshuaidaozailupang,songdaorenminyiyuanjijiu。hecigongzhenxianshijixingnaogengsi,huanzhedanaoqiandongmaibisai,suiranjiyujinjirongshuanzhiliao,bingrenyiranzuocezhitipiantan,zuoshangzhihaiyou30%degongneng,zuoxiazhiwanquanbunenghuodong。

     

    huanzhedefumuqinfeichangzheji,tazhishiyoudian“pang”,zenmeturanjiunaozuzhongleni?

    亚博网页版 ruyuanjianchajichudaan,zheiweihuanzhexueya、xuetang、xuezhijunyuanyuangaoyuzhengchangzhi。yinweiduonianmeiyouchati,huanzhegenbenbuzhidaozijishentidebianhua,gengbuyaoshuoguifanzhiliaole。erqiezheiweigongchengshishuyu“zhai”nan,meitiangongzuojihudoushizuozhe,haijingchangjiabanaoye,huijiayeshibaozhediannao、shouji。gaoxueya、tangniaobing、gaoxuezhidaozhitachuxianle“zaofaxingdongmaizhouyangyinghua”,zaiyigehanlengdedongjizaochen,fashenglenaozuzhong。

    病因多样化 动脉粥样硬化是主凶

    qingnianzuzhongshizhi18dao45suizhijianfashengdenaoxueguanbing,jushijieweishengzuzhizuijintongjidiaocha(who)xianshi,qingniannaozuzhongdefabinglvwei(48~240)/ 10 wan。guoneiyixiangliuxingbingxuediaochaxianshi,qingnianzuzhongbiliyuezhanquanbunaozuzhonghuanzhede9.77%,qiebiliyouzhunianzenggaoqushi,qizhongdongmaibingbianyinsudagaiyuezhan11%-17%,erxinyuanxingshuanzidagai11%-30%。suoyishuo,qingnianzuzhongweixianyinsuduoyanghua,younianlingtedian,zhuyaobaokuoyixiajifangmian。

    早发性动脉粥样硬化。亚博网页版其发生的危险因素包括吸烟、酗酒、工作压力大、高血压、糖尿病、血脂代谢异常、肥胖、高同型半胱氨酸血症、高纤维蛋白血症、超敏C-反应蛋白(hsCRP)等。

    心源性脑栓塞。主要包括以下几方面: 1. 心脏瓣膜病和心内膜病变  主要病因为细菌性心内膜炎、非细菌性血栓性心内膜炎、二尖瓣狭窄、二尖瓣脱垂和心肌梗死后左室附壁血栓、风湿性心脏病。2. 心律失常  主要为房颤。3. 伴有左心室血栓形成的急性心肌梗死,4. 在人工心脏瓣膜置换术后,瓣膜附近均可有血栓形成。5. 卵圆孔未闭  占青年心源性卒中的一大部分,卵圆孔未闭时来自静脉系统的逆行栓子可直接通过由右向左分流通道进入动脉系统,造成脑栓塞。  

    凝血机制异常。亚博网页版血液成分异常血液高凝状态,容易导致血小板聚集,形成血栓。妊娠期及产褥期激素异常、口服避孕药近年来被密切关注,这些均与缺血性脑卒中患者凝血机制异常有关。

    炎症性动脉病变。炎症性动脉病变是一组由不同病因引起血管壁炎症和坏死改变的临床疾病,主要包括大动脉炎、变态反应性疾病和特异性感染(如梅毒、)、非特异性感染(如系统性红斑狼疮等)。     

    遗传因素。亚博网页版遗传性疾病是青年脑卒中的少见病因,主要包括常染色体显性遗传多囊肾(ADPKD),线粒体脑肌病伴乳酸酸中毒和卒中样发作、伴脑淀粉样血管病、皮质下梗死、纤维肌层发育不良等。

    预防卒中需坚持正确生活方式 积极治疗基础病

    亚博网页版 tongguojiezhenzhiliaolinchuangqingnianzuzhongbingli,fenxirenwei,qizhonghendayibufenshibujiankangdeshenghuofangshidaozhidejibing。gaoxueya、gaoxuezhi、gaoxuetang、feipang、shenghuobuguilv、yundongliangbuzudengshidaozhinaozuzhongnianqinghuadezhuyaoyuanyin。biru,wenzhongtidaodeneiweinianqinggongchengshi,tizhongchaobiao,duonianbuchati,lihuantangniaobing、gaoxueyaquehunranbuzhi,xinnaoxueguanyijingfashengzaofaxingyinghua,yiweiqizixingcheshangxiabanjiusuan“guilvduanlianshenti”le。30duosuidenianji,houbanshengdouxuyaorenzhaoliao。

    lingwai,pinfandeyinjiu、xiyan、gaoreliangyinshi、yeshenghuoguodudengbujiankangshenghuofangshi,gongzuoyalida、jingshenjinzhang、qingxujiaozao,yehuidaozhinaozuzhongfasheng。yanjiubiaoming,xiyanshinaozuzhongzuiweixianyinsu,xiyanshinaozuzhongfengxianzengjia2dao3.5bei,shiduliyuqitaweixianyinsuzhiwaidehuanquexuexingnaozuzhongdeweixianxing,gaifengxianxingzaijieyanwunianhoukejiangdizhijixianshuiping。

    zaiyoujiushiyidingyaojijizhiliaojichubing。biru,qianbujiuyabowangyebanjiezhenleyiweijiazuxingduonangshenhuanzhe,yeshi30chutou。huanzheturantoutongbanzuoxiazhimamu1tian,kaishiyiweilaolei,xiuxihouweijianhuanjie,cailaiyiyuanjiuzhen,touluctjianchatishiweijidijienaochuxue。zheiweihuanzhebujiuqianfaxianlezijiyouduonangshendeqingkuang,danweiyinqizugoudezhongshi,duonangshenshiyizhongchangransetixianxingyichuan,nangzhongkefashengyuganzang、shenzang、yizang、pizangheluanchaodengdeng,qiyinqigaoxueyadekenenggaoda80%,wanqishenbingfashenglvjiejin50%,ernaozuzhong、dongmailiudefashenglvmingxiangaoyuputongrenqun,gaihuanzheduonangshendaozhidexueyashenggao,weiguilvtijian,zijijuedemeishenmebushufu,qishiduonangshengaoxueyazhiliaoxiaoguofeichanghao,zheiweihuanzheyexumeitianzhichiyipianyao,jiunengfangzhizuzhongdefasheng。

    亚博网页版  

    亚博网页版 suoyi,zaicitishiyoufuheqingniannaozuzhonggaofayinsudehuanzhe,yidingguilvzhiliao,kongzhihaojichubing,congyuantoushangzuzhinaozuzhongdefasheng。