Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3.0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/init.php on line 34 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3.0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/init.php on line 34 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/topnews.php on line 6 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/engine.php on line 139 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: strtotime(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 65 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 130 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 134 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/show.short.php on line 252 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/rssinform.php on line 97 Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Europe/Moscow' for 'MSK/3,0/no DST' instead in /home/ih90342/public_html/venus-med.ru/engine/modules/rssinform.php on line 97 Инсульт » Уникальные медицинские статьи для докторов и врачей

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Нарушения центральной гемодинамикиНаиболее частой причиной ишемического инсульта является атеросклеротическое поражение артериальной системы. Обычно оно носит генерализованный характер, и свойственные для атеросклероза изменения обнаруживаются среди прочих локализаций в коронарных артериях. Их следствием являются поражения, обобщенно именуемые ишемической болезнью сердца. Одним из ее ведущих проявлений наряду с нарушениями сердечного ритма - оказывается поражение миокарда, приводящее к уменьшению эффективной работы сердца.

Одним из наиболее частых следствий этого патологического процесса, особенно при его резкой выраженности, являются низкий уровень АД, уменьшение минутного объема сердца и повышение сосудистого сопротивления. Именно этот гемодинамический феномен, как показали результаты анализа соотношения среднего АД, ударного и минутного объемов крови, является одной из ведущих причин возникновения ишемического инсульта.

Принципы классификации острых церебральных ишемийИспользуются четыре принципа классификации:
1) в зависимости от темпа формирования неврологического дефицита и продолжительности его существования;
2) основанная на степени тяжести состояния больных;
3) соответственно локализации инфаркта мозга;
4) патогенетически обоснованная классификация.

Посттравматические внутричерепные гематомыПосттравматические внутричерепные гематомы в зависимости от сроков их клинического проявления подразделяют на острые - проявляющиеся в течение первых 2-3 суток с момента травмы; подострые - проявляющиеся в течение 3-х недель после травмы; хронические - проявляющиеся позднее 3-х недель после травмы. В плане дифференциальной диагностики с ишемическим инсультом наибольшее значение имеют острые и, в меньшей степени, подострые гематомы вследствие закрытых черепно-мозговых травм. Время с момента травмы до появления общемозговой симптоматики или неврологического дефицита именуется "светлым промежутком".

Асептический тромбоз мозговых венАсептический тромбоз мозговых вен развивается преимущественно в условиях повышенной вязкости и коагулянтности крови после операций, травм, родов, длительного пребывания больных на постельном режиме. Их причиной могут быть прием контрацептивов и метастазы злокачественных опухолей.

Нередко тромбоз мозговых вен сочетается с аналогичными изменениями вен конечностей.

Факторы влияющие на исход инсультовФакторами риска являются общеизвестные экзогенные и эндогенные воздействия на организм (артериальная гипертензия, гиперхолестеринемия, курение, гиподинамия, избыточная масса тела и многие другие). Условиями, обусловливающими возможность развития инсульта, являются атеросклеротические изменения, различные врожденные мальформации артериальной системы мозга или приобретенные вследствие длительно существующей артериальной гипертензии поражения мозговых сосудов.

Симптоматология и течение кровоизлияния в мозгПатогномоничным для кровоизлияний является острейшее внезапное начало с резчайшей головной боли. Вслед за ней быстро и обычно одновременно возникают угнетение сознания, рвота, грубые симптомы выпадения. Вскоре присоединяются оболочечные симптомы. Однако при глубокой коме они, как правило, отсутствуют. Нередко при полушарных геморрагиях наблюдаются судорожные припадки.

Выделяют три варианта течения кровоизлияний - острый, подострый, хронический.

Кровоизлияния в другие территории полушарийГеморрагии в серое и белое вещество и пограничную зону отличаются от кровоизлияний в область полосатого тела и зрительный бугор двумя обстоятельствами. Первое - в отличие от последних, они возникают преимущественно не на почве артериальной гипертензии, а вследствие артериальных дисплазий (микроангиопатии, микроангиомы), коагулопатий и неуточненных причин. Во-вторых, они протекают легче и в ряде случаев доступны хирургическому лечению.