不明原因栓塞性卒中的诊治进展  

Progress in diagnosis and treatment of embolic stroke of undetermined source

作　　者：徐炳东 麦鸿成 吴正懂 朱培植 梁宇彬 张玉生[1] 

机构地区：[1]暨南大学附属第一医院脑血管病中心和神经内科,广东广州510632

出　　处：《临床荟萃》2018年第3期185-188,193,共5页Clinical Focus

基　　金：国家自然科学基金资助项目(81171084);广东省自然科学基金资助项目(2014A030313384);广东省医学科研基金资助项目(A2014381);广州市科技计划资助项目(2014Y2-00505;201508020004)

摘　　要：不明原因栓塞性卒中(embolic stroke of undetermined source,ESUS)是一种特殊类型的隐源性卒中,阵发性心房颤动和卵圆孔未闭是其最主要的潜在病因。ESUS概念自2014年被提出后相关研究报道越来越多,尤其在ESUS二级预防方面取得不少进展。本文就ESUS的流行病学、临床特征、诊断标准、二级预防治疗策略和预后方面进行了综述。Embolic stroke of undetermined source(ESUS)is a special type of cryptogenic stroke.The most important underlying causes of ESUS are paroxysmal atrial fibrillation and patent foramen ovale.Since the concept of ESUS was put forward in 2014,more and more researches have been reported,especially in the progress of the secondary prevention of ESUS.The epidemiology,clinical features,diagnostic criteria,secondary prevention strategies and prognosis of ESUS were reviewed.

关 键 词：卒中 颅内栓塞 心房颤动 卵圆孔 未闭 血小板聚集抑制剂 抗凝药 

分 类 号：R743[医药卫生—神经病学与精神病学]