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记得一次在机场,王拥军教授讲过这样一个故事:一位37岁的患者,下飞机后突然右侧肢体偏瘫,血压、血脂、血糖均正常,影像学检查显示脑梗死。在寻找病因的过程中,医生首先想到由于长期坐飞机,下肢深静脉血栓形成,血栓脱落,形成栓子,造成脑栓塞的可能性,但是栓子突破肺循环到达脑血管可能性不大,因此推测患者可能存在卵圆孔未闭,导致心房右向左分流,后经食道超声,超声心动图予以确诊。去年的世界卒中日宣言提出,各学科联合起来。因为许多脑疾病的病因在心脏或者外周血管,各学科联合起来是寻找到更多更确切病因的保障。现在,包括吸烟、饮酒、运动过少、血脂升高、高血压等在内的一些相同的危险因素成为了人类健康的罪魁,而这些相同危险因素研究目前还是孤立的,所以世界卒中日宣言呼唤多学科的联合。2005年8月,北京市心血管病中青年工作者论坛在科技会堂召开题为“心房颤动与脑卒中”会议,会议旨在通过多学科协作防治脑卒中,本次论坛讨论了心源性脑栓塞(Cardioembolism,CE)的主要类型之一——房颤与脑栓塞。下面简要介绍论坛讨沦的内容,供读者参考。
I remember once in the airport, Professor Wang Yongjun talked about such a story: a 37-year-old patient, suddenly after the plane hemiplegia on the right limb, blood pressure, blood lipids, blood glucose were normal, imaging studies showed cerebral infarction. In looking for the cause of the disease, the doctor first thought of long-flying plane, lower extremity deep venous thrombosis, thrombus shedding, the formation of emboli, causing the possibility of cerebral embolism, but the embolus to break through the pulmonary circulation to cerebral blood is unlikely, so speculated Patients may have patent foramen ovale, leading to atrial right to left shunt, after transesophageal echocardiography, echocardiography be diagnosed. Last year’s World Stroke Day Declaration proposed that all disciplines be united. Because the cause of many brain diseases is in the heart or peripheral vessels, the combination of disciplines is the guarantee of finding more and more precise causes. Nowadays, some of the same risk factors including smoking, drinking, hypomotility, hyperlipidemia, hypertension and others are the culprit of human health. However, the study of these same risk factors is still isolated at present, so the World Stroke Day declaration calls for Multidisciplinary joint. In August 2005, the Beijing Young and Middle-Aged Cardiovascular Forum held a conference titled “Atrial Fibrillation and Stroke” in the Science and Technology Hall. The conference aimed to prevent and treat stroke through multidisciplinary collaboration. The forum discussed cardiogenic brain Cardioembolism (CE) one of the main types - atrial fibrillation and cerebral embolism. The following brief discussion of the contents of forum discussions, for readers reference.