Ill. etiology 纤维蛋白 vascular wall lesions (atherosclerosis, areritis) >Blood components change abnormality e e (increased viscosity, coagulation mechanism >Hemodynamic change (hypertension, hypotension and external vascular factors) IVrisk factors > Invariable factors v age, nationality, gender and family history; >Variable factors hy pertension, cardiac disease, diabetes mellitus, hy perlipidemia etc Smoking and dietary
Ⅲ 纤维蛋白溶解 . etiology Ø vascular wall lesions ü(atherosclerosis, areritis) ØBlood components change abnormality ü(increased viscosity, coagulation mechanism ) ØHemodynamic change ü (hypertension, hypotension and external vascular factors) Ⅳrisk factors： ØInvariable factors： üage、nationality、gender and family history； ØVariable factors: ühypertension、cardiac disease、diabetes mellitus、hyperlipidemia etc. üSmoking and dietary
Damaged in automatic regulation of cerebral blood f, Infarction zone Penumbra zone Edema zone 半暗区 选择性舒张颅内痉挛血管 72
Damaged in automatic regulation of cerebral blood flow Infarction zone Penumbra zone Edema zone 选择性舒张痉挛血管 梗塞区半暗区 选择性舒张颅内痉挛血管
CL INI CAL FEATURES (1) motor dysfunction (2)sensory di sdurbance (3)advance brain dysfunction aphasia\ apraxia. agnosia i (4)compl ication Systemic: postural hypotension, decrease of physical strength and endurance, infection(pneumonia ur inary path infection, pressure ulcers) @local: joint contracture disused amyotrophy heterotopic ossification shoulder-hand syndrome i scapulohumeral periarthritis peripheral circalation disturbance i
CLINICAL FEATURES： (1)motor dysfunction; (2)sensory disdurbance； (3)advance brain dysfunction: aphasia、apraxia.、agnosia； (4) complication: ①systemic：postural hypotension 、decrease of physical strength and endurance、infection(pneumonia 、 urinary path infection、pressure ulcers)； ②local：joint contracture 、disused amyotrophy 、 heterotopic ossification、shoulder-hand syndrome 、 scapulohumeral periarthritis 、peripheral circalation disturbance；
冷 Soft tissue injury 冷 spasiticity o associated reaction 冷 Synergy movement Compensatory action heterotopic ossification o genu recurvatum Hemiplegia gait
v Soft tissue injury v spasiticity v associated reaction v Synergy movement v Compensatory action v heterotopic ossification v genu recurvatum v Hemiplegia gait
三55E小GEOF5R0三 REHABLTATIO小 peripheral central paralysis paralysis (change for quantity)(change for quality 0 flaccid(I) spasticity(Il) synergy motion(III) 2345 some selective activation (Iv) selective activation (v) isolated movements (VI)
peripheral central paralysis paralysis (change for quantity) (change for quality) 0 flaccid(I) 1 spasicity(II) 2 synergy motion（III） 3 some selective activation(IV) 4 selective activation(V) 5 isolated movements（VI）