Stroke (cerebral Thrombosis) 中風 (腦血栓形成)


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Stroke (cerebral Thrombosis)

Cerebral thrombosis is also recognized as atherosclerotic and thrombotic cerebral infarction and is caused by the pathological changes of cerebral arterial wall together with elevation of blood coagulability, leading to vascular narrowness, obstruction and ischemic changes of the corresponding cerebral tissue, which may be followed by necrosis.

Main points of diagnosis:

1 Stroke is more common in middle-aged and old people. There may be transient numbness of limbs, fatigue and aphasia before the onset of the disease.

2 The attack often occurs in sleep, when the blood pressure is lower and blood flow is slower. A few cases may be seen after strenuous exercise.

3 Neural manifestation include central monoplegia and hemiplegia. They may be accompanied with aphasia, but are often with hemihypoesthesia and hemianopia.

There may also be disphagia and disturbance of consciousness. Unilateral optic atrophy and Horner's syndrome may be present.


中風 (腦血栓形成)

中風又稱為動脈粥樣硬化性血栓形成腦梗塞,是由于顱內動脈管壁病變和血液凝固性增高,使管腔狹窄或閉塞,從而相應部位組織缺血,並進一步發生壞死所致.

診斷要點:

1 中風多見于中老年患者,發病前可有一過性肢體麻木,乏力或語言障礙.

2 發病多在睡眠中發生,此與睡眠中血壓偏低和血流變慢有關,少數患者可在劇烈活動后發生.

3神經系統表現為中樞性單癱,偏癱,伴或不伴失語,常伴偏身性感覺障礙及偏盲.亦可有吞咽困難和意識障礙,一側視神經萎縮和賀納氏综合症


中风(脑血栓形成)

中风又称为动脉粥样硬化性血栓形成脑梗塞,是由于颅内动脉管壁病变和血液凝固性增高,使管腔狭窄或闭塞,从而相应部位组织缺血,并进一步发生坏死所致.

诊断要点:

1中风多见于中老年患者,发病前可有一过性肢体麻木,乏力或语言障碍.

2发病多在睡眠中发生,此与睡眠中血压偏低和血流变慢有关,少数患者可在剧烈活动后发生.

3神经系统表现为中枢性单瘫,偏瘫,伴或不伴失语,常伴偏身性感觉障碍及偏盲.亦可有吞咽困难和意识障碍,一侧视神经萎缩和贺纳氏综合症


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