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缺血性卒中或短暂性脑缺血发作后的二级预防
Secondary Prevention after Ischemic Stroke or Transient Ischemic Attack


Stephen M. Davis ... 心脑血管疾病 • 2012.05.17
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杂志的这一部分首先引入一个病例摘要来强调一个常见的临床问题,然后提出有证据支持的各种策略。如果存在正式的指南,作者则对此进行综述。文章以作者的临床建议结尾。

 

一位62岁的女性患者1周前发生缺血性卒中,当时因言语障碍和右侧肢体乏力就诊外院,磁共振成像(MRI)显示左顶叶皮新发的脑梗死,计算机断层扫描血管造影(CTA)显示左侧颈内动脉近端重度狭窄(图1)。静脉给予重组组织型纤溶酶原激活物治疗后出院回家,并口服阿司匹林和一种他汀类药物。患者已戒烟12年,检查时血压为145/90mmHg,患者诉右手遗留轻微的活动不灵活。你会给予什么建议以减少卒中复发的风险?





作者信息

Stephen M. Davis, M.D., and Geoffrey A. Donnan, M.D.
From the Melbourne Brain Centre, Royal Melbourne Hospital (S.M.D.); the Departments of Medicine (S.M.D.) and Neurology (S.M.D., G.A.D.), University of Melbourne; and the Florey Neuroscience Institutes (G.A.D.) — all in Melbourne, VIC, Australia. Address reprint requests to Dr. Davis at the Melbourne Brain Centre, Royal Melbourne Hospital, Parkville, VIC, Australia 3050, or at stephen.davis@mh.org.au.

 

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