会计学Section1IntroductionClassificationofCVD脑部的血液(xuèyè)供应-Bloodsupplyinbrain基底(jīdǐ)动脉(BA):Whichhasbranchesofanteriorinferiorcerebellarartery（小脑前下动脉）branchesofpons（脑桥支）internalauditoryartery（内听动脉）superiorcerebellarartery（小脑上动脉）EtiologyofCVDEtiologyofCVDRiskfactorsRiskfactorsSection2TransientIschemicAttack,TIA(短暂性脑缺血发作(fāzuò))TIA-Concept/TIA-Clinicalfindings/ClinicalfeaturesofcarotidarteryTIAClinicalfeaturesofcarotidarteryTIATIAofVertebra-basilararteryTIAofVertebral-basilararteryTIAofVertebral-basilararteryTIASymptomsRelatedtoCerebralCirculationTIA-DiagnosisanddifferentiationManagementDiagnosisofCarotidStenosisInvestigativestudy/TIA-treatmentandpreventionTIA-treatmentandpreventionSummaryCaseExampleCaseExampleCaseExampleCaseExampleCaseExampleQuestionsSection3脑梗塞-cerebralinfarctioncerebralinfarction脑血栓形成(xíngchéng)-cerebralthrombosis(CT)EtiologyEtiologyPathologyPathologyPathologyPathophysiologyPathophysiologyTypesClinicalfeaturesClinicalfeaturesClinicalfeaturesClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClinicalsyndromesofCIClincalsyndromesofCIClincalsyndromesofCIClincalsyndromesofCILaboratoryfindingsLaboratoryfindingsLaboratoryfindingsDiagnosisanddifferentiationDiagnosisanddifferentiation脑出血和脑梗塞的鉴别要点脑出血脑梗塞1.发病年龄60岁以下多60岁以上2.TIA史多无常有3.起病状态(zhuàngtài)活动中安静状态(zhuàngtài)或睡眠中4.起病速度急(分、时)较缓(时、日)5.血压明显增高正常或增高6.全脑症状明显多无7.意识障碍较重较轻或无8.颈强直可有无9.头颅CT高密度病灶低密度病灶10.脑脊液血性,洗肉水样无色透明其中最重要的是2、3.两条。TreatmentTreatmentTreatmentTreatmentTreatmentTreatmentTreatmentTreatment腔隙性脑梗塞-LacunarInfarction腔隙性脑梗塞-LacunarInfarction脑栓塞-Cerebralembolism脑栓塞-Cerebralembolism脑栓塞-CerebralembolismClinicalfindingsLaboratoryFindingsLaboratoryFindingsDiagnosisanddifferentiationTreatmentan