1例脑小血管病的“健-全-专”诊疗思考  

Application of health management,general practice and specialty joint management mode in a patient with cerebral small vessel disease

作　　者：章桂芬 童钰铃[1] 郭谊[1,2] ZHANG Guifen;TONG Yuling;GUO Yi(Department of General Practice and International Medicine,Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou,Zhejiang 310009,China;不详)

机构地区：[1]浙江大学医学院附属第二医院全科医学科及国际医学部,浙江杭州310009 [2]浙江大学医学院附属第二医院神经内科

出　　处：《中华全科医学》2024年第2期352-356,共5页Chinese Journal of General Practice

摘　　要：我国小动脉闭塞所致的脑小血管病约占缺血性卒中病因的30%,脑小血管病多起病隐匿,其治疗、预后与大动脉粥样硬化型脑卒中有所不同。近年来,对于脑小血管病的认知越来越深入,2021年中国脑小血管病诊治专家共识进行了更新,但是全科医生对此疾病还没有足够的认识,在实际工作中对该疾病的诊断、治疗及管理存在盲点。本文通过介绍1例脑小血管病患者的诊治及随访过程,以帮助全科医师提高对于这种疾病的认识,尤其是针对脑微出血的处理,同时展示“健-全-专”一体化管理模式在此类患者管理上的运用。Small vessel disease caused by small artery occlusion accounts for about 30%of the aetiology of ischaemic stroke in China.Many small vessel diseases are hidden,and their treatment and prognosis are different from those of large atherosclerotic stroke.In recent years,the understanding of cerebrovascular disease has become more profound.In 2021,the consensus of Chinese experts on the diagnosis and treatment of cerebrovascular disease was updated,but general practitioners still do not have enough understanding of this disease,and there are blind spots in the diagnosis,treatment and management of this disease in practice.By presenting the diagnosis,treatment and follow-up of a patient with cerebrovascular disease,we can help general practitioners improve their understanding of this disease,particularly in the treatment of cerebral microbleeds,and demonstrate the application of our“sound professional”integrated management model in the management of such patients.

关 键 词：脑小血管病 全科医生 病例管理 

分 类 号：R743[医药卫生—神经病学与精神病学] R499[医药卫生—临床医学]