[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fKaMix82qQe3Sl_IHHxKYcb2vjhXcNHJSQNQsR_yGuGo":8,"$fdglR1T37wquUKfayyzp9Tui5XM9Ow_2tjsGhVskMCh0":56,"$fG_3d5h69pVBBvaY_smrleGIqBxAAeRJyjiuoG0B0os4":60},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":29,"seoKeywords":30,"seoDescription":31,"shelvesTime":32,"version":21,"menus":33,"menuId":35,"type":43,"quality":54,"commentCount":21,"isComment":43},5499,196,[],"https://ystcdn.venuertc.com/medical/ystApp/VZYbwOYBBA1QDZnefyATQyzHpCiuwTuW.png","谭双旭","四平市中心人民医院","神经内科","主治医师",34,0,"脑梗死的早期识别与防治：关键时刻的黄金72小时","","https://ystcdn.venuertc.com/venue/AI/4654f266-d116-4ccb-ba52-be857a5ebb0c.jpg","\u003Ch2>脑梗死的早期识别与防治：关键时刻的黄金72小时\u003C/h2>\u003Cp>最近，一位来自吉林省的61岁男性患者因急性脑梗死被诊断入院。通过影像学检查发现，患者右侧枕叶和右侧丘脑部位新发脑梗死，并伴有脑部多个区域的小缺血灶。该患者无过敏史，已婚，体重61kg，身高176cm。本文将详细介绍脑梗死的相关信息，涵盖可能疾病、治疗方案和预防措施，帮助您更好地了解这种疾病。\u003C/p>\u003Cp>首先，让我们简要回顾一下该患者的检查报告和异常指标。通过DWI序列和ADC序列的影像学检查，我们发现右侧枕叶和右侧丘脑部位存在片状高信号影，双侧额叶皮层下、双侧放射冠区见点状等T1、长T2信号影，T2Flair序列呈高信号。这些异常信号都是急性脑梗死的重要标志。这些影像学发现表明患者在右侧脑部多个区域发生了缺血性损伤。\u003C/p>\u003Ch3>可能疾病：急性脑梗死的成因与危害\u003C/h3>\u003Cp>急性脑梗死是由于脑血流中断导致的脑组织缺血、缺氧，进而引起的脑细胞不可逆性损伤。常见的原因包括动脉粥样硬化导致的血管狭窄或闭塞、心源性栓塞（如心房颤动导致的血栓脱落）、血液高凝状态等。脑梗死往往发病迅速，症状严重，包含偏瘫、失语、感觉障碍等，严重影响患者生活质量。\u003C/p>\u003Cp>研究表明，脑梗死是全球第二大常见死因，仅次于心脏病。中国每年新发脑梗死病例近200万例，其中约30%的患者在发病后一年内死亡，另有30%-40%的患者生活无法自理，需要长期护理。早期识别和治疗对于降低脑梗死的死亡率和致残率具有重大意义。\u003C/p>\u003Ch3>治疗方案：急性脑梗死的救治策略\u003C/h3>\u003Cp>急性脑梗死的治疗目标在于尽早恢复脑部血流，减少脑细胞损伤，从而降低死亡率和致残率。临床上常用的治疗方法包括静脉溶栓治疗、机械取栓术、抗血小板药物和抗凝治疗等。静脉溶栓治疗需要在发病后4.5小时内进行，因此患者尽早就医至关重要。机械取栓术适用于大血管闭塞引起的脑梗死，能有效恢复血流，提高治疗效果。\u003C/p>\u003Ch3>预防措施：远离脑梗死，健康生活\u003C/h3>\u003Cp>鉴于脑梗死的严重危害和高发病率，预防工作尤为重要。高危人群包括患有高血压、糖尿病、高脂血症、心脏病等慢性疾病的人群，以及长期吸烟、饮酒和缺乏运动的人群。预防脑梗死可采取以下措施：\u003C/p>\u003Cp>1. 控制基础病：积极控制血压、血糖和血脂，定期监测并按时服药。\u003C/p>\u003Cp>2. 健康生活方式：保持均衡饮食，多吃新鲜蔬菜、水果和富含膳食纤维的食物，减少盐分和油脂摄入。戒烟限酒，增加运动量，每周进行至少150分钟的中强度有氧运动。\u003C/p>\u003Cp>3. 定期体检：定期进行健康体检，特别是脑血管病高危人群，应重点检查颈动脉彩超、脑部CT或MRI等。\u003C/p>\u003Cp>4. 了解脑梗死的早期症状：包括突然的语言不清、面部或肢体无力、一侧肢体麻木或感觉障碍、头痛、头晕等。如出现以上症状，应立即拨打急救电话或前往最近的医院。\u003C/p>\u003Cp>通过采取以上预防措施，可以大大降低脑梗死的发病风险。若不幸发生脑梗死，早期识别和及时治疗同样至关重要。希望每一个人都能重视自己的健康，及早预防疾病的发生。\u003C/p>\u003Ch3>引用文献\u003C/h3>\u003Col>\u003Cli>Wang, W., Jiang, B., Sun, H., et al. (2017). Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-Based Survey of 480 687 Adults. Circulation, 135(8), 759-771.\u003C/li>\u003Cli>Benjamin, E. J., Blaha, M. J., Chiuve, S. E., et al. (2017). Heart Disease and Stroke Statistics-2017 Update: A Report from the American Heart Association. Circulation, 135(10), e146-e603.\u003C/li>\u003Cli>Campbell, B. C. V., Mitchell, P. J., Yan, B., et al. (2015). Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection. New England Journal of Medicine, 372(11), 1009-1018.\u003C/li>\u003Cli>Hacke, W., Kaste, M., Bluhmki, E., et al. (2008). Thrombolysis with Alteplase 3 to 4.5 Hours after Acute Ischemic Stroke. New England Journal of Medicine, 359(13), 1317-1329.\u003C/li>\u003Cli>Donnan, G. A., Fisher, M., Macleod, M., Davis, S. M. (2008). Stroke. The Lancet, 371(9624), 1612-1623.\u003C/li>\u003Cli>Chinese Stroke Association guidelines: Chinese Guidelines for Diagnosis and Treatment of Acute Ischemic Stroke 2014. Chinese Journal of Neurology, 48(4): 246-257.\u003C/li>\u003C/ol>","最近，一位来自吉林省的61岁男性患者因急性脑梗死被诊断入院。通过影像学检查发现，患者右侧枕叶和右侧丘脑部位新发脑梗死，并伴有脑部多个区域的小缺血灶。该患者无过敏史，已婚，体重61kg，身高176cm。",519,"2025-03-03 13:52:52"," 脑梗死早期识别与防治：黄金72小时的关键策略  "," 脑梗死早期识别, 脑梗死防治, 黄金72小时, 脑卒中预防, 脑梗死症状, 急救措施  "," 了解脑梗死的早期识别与防治方法，掌握黄金72小时内的关键急救措施。本文详细解析脑梗死症状、预防策略及治疗要点，帮助您有效应对这一健康危机。","2025-03-25 17:34:00",[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":37,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":43,"status":21,"createDept":6,"remark":23,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":43,"isHome":21,"forceLogin":21,"color":48,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":38,"componentInfo":39},"1986713082609147906","健康科普",2,"article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","重大疾病",true,{"code":9,"msg":10,"message":6,"data":57,"success":55},{"pageNo":43,"pageSize":58,"result":59,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":61,"success":55},{"authors":62,"appraiseDimensionScoresVos":63},[],[]]