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成人急性缺血性卒中血管内治疗的麻醉(存档)

Anesthesia for Endovascular Therapy for Acute Ischemic Stroke in Adults(Archived)

作者信息

Khan Mohammad Zafeer, Singh Paramvir

机构信息

Augusta University Medical Center

Abstract

Approximately 795,000 people suffer from stroke annually in the US. According to this estimate, 1 person gets a stroke every 40 seconds, and approximately 1 patient dies due to a stroke every 4 minutes. Acute stroke can be classified as ischemic, hemorrhagic, subarachnoid, cerebral thrombosis, and spinal stroke. About 80 to 87% of all strokes are of ischemic origin. Ischemic stroke is further divided into 5 subtypes: 1. Large-artery atherosclerosis. 2. Cardioembolism. 3. Small-vessel occlusion. 4. Stroke of other determined etiology. 5. Stroke of undetermined etiology. Risk factors of stroke can be divided into modifiable and non-modifiable. Modifiable factors are hypertension, diabetes, hyperlipidemia, tobacco use, alcohol and drug use, physical inactivity, and atrial fibrillation. Non-modifiable factors are age, sex, race, and genetics.

摘要

在美国,每年约有79.5万人罹患中风。据此估算,每40秒就有1人中风,每4分钟就约有1名患者死于中风。急性中风可分为缺血性、出血性、蛛网膜下腔、脑血栓形成和脊髓中风。所有中风病例中,约80%至87%源于缺血性。缺血性中风又进一步分为5种亚型:1. 大动脉粥样硬化。2. 心源性栓塞。3. 小血管闭塞。4. 其他明确病因的中风。5. 病因不明的中风。中风的风险因素可分为可改变和不可改变的两类。可改变因素包括高血压、糖尿病、高脂血症、吸烟、酗酒和吸毒、缺乏运动以及心房颤动。不可改变因素包括年龄、性别、种族和遗传。

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