作者 主題: 心血管疾病也會引起腦卒中,如何防範?  (閱讀 66 次)

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心血管疾病也會引起腦卒中,如何防範?
« 於: 十一月 03, 2022, 05:44:31 下午 »
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10月29日是世界腦卒中日,腦卒中(中風)除了和腦血管相關以外,與心臟疾病也有密切關係,特別是心房顫動(即房顫)。
[/size]常棟主任表示,房顫是常見的心律失常,其引發中風致死致殘率高達75%。房顫發生時,心房有效的收縮功能消失,這導致心房內的血液淤積並可能產生血栓。血栓脫落後,會隨著血液流動,停在哪裡,就可能造成相應部位血管的堵塞,最常見的就是堵塞腦血管,引發中風,即心源性中風。
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[/size]大多數情況下,早期房顫沒有症狀,很多患者容易被蒙蔽。這個“隱形殺手”會在不知不覺中引起血栓栓塞、心臟擴大等問題,等出現症狀再治療時,往往已經對身體造成了不可逆的損傷,治療效果遠沒有早期治療好。所以預防中風,需要關注血壓,關注房顫。

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[/size]廈門大學附屬心血管病醫院心內四科專家手術中
[/size]當然,並非所有房顫患者都會中風。常棟說,具有以下一項因素,如合併心力衰竭、高血壓、年齡≥65歲、糖尿病、既往中風史等的房顫患者,往往中風風險會顯著增加,應儘早積極進行抗凝治療,預防中風。
[/size]常棟接診過一位30多歲的房顫患者,患者沒有房顫的臨床症狀,但同時有高血壓、糖尿病,由於沒有重視抗凝治療,結果突然發生了腦卒中,導致左側身體偏癱和失語,不僅給患者造成了抑鬱,更給家庭帶來巨大的痛苦。
[/size]對於中高危的房顫患者,常棟建議儘早進行抗凝治療,一種方式是長期口服抗凝藥物,另一種是進行微創左心耳封堵術治療,以降低卒中風險。

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Re: 心血管疾病也會引起腦卒中,如何防範?
« 回覆 #4 於: 三月 28, 2024, 03:00:33 下午 »
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