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26  «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–·æ∑¬å∑“߇≈◊Õ°                 ªï∑’Ë Û ©∫—∫∑’Ë Û ¡‘∂ÿπ“¬π -°—𬓬π ÚıÙ¯


             “¡ ·≈– ’Ëªí®®—¬Õ¬à“ß≈– 1 √“¬ ‰¡à¡’ªí®®—¬‡ ’Ë¬ß 1 √“¬ ¡’°≈ÿࡇ≈◊Õ¥ ‡Õ 1 √“¬ ‚Õ 1 √“¬ ‰¡à∑√“∫°≈ÿà¡

            4 √“¬  ¡’√–¬–‡«≈“À≈—߇ªìπÕ—¡æ“µ°àÕπ°“√øóôπøŸ ¿“æ 5, 9, 13, 14, 15 ·≈– 67 «—π ¡’√–¬–‡«≈“°“√
            øóôπøŸ§√∫ 1 ™ÿ¥°“√√—°…“ 5 «—π 2 √“¬ 18, 19, 29 ·≈– 32 «—πµ“¡≈”¥—∫


            ¥—ßµ“√“ß∑’Ë 1 · ¥ß¢âÕ¡Ÿ≈∑—Ë«‰ª


              ‚ª√·°√¡  ‡≈¢ª√–®”µ—« ‡æ»   Õ“¬ÿ  ªí®®—¬‡ ’Ë¬ß  §”«‘π‘®©—¬ ¥â“π欓∏‘ ¿“æ   √–¬–‡«≈“‡√‘Ë¡
              °“√√—°…“   ºŸâªÉ«¬(H.N.)  (ªï)  (√À— )                             √—°…“À≈—ߪɫ¬
             øóôπøŸª°µ‘  1869242  ™“¬   75      6    Thrombosis of Posterior cerebral artery  5 «—π
             øóôπøŸª°µ‘  2939538  ™“¬   24      7    Traumatic Brain Injury             5 «—π
             øóôπøŸª°µ‘  6681043  ™“¬   36     1,7   Ruptured Aneurysm                 32 «—π
             º ¡º “π    6246543  À≠‘ß   46      0    Meningioma                        19 «—π
             º ¡º “π    6470142  À≠‘ß   88    1,3,8  Thrombosis of Middle cerebral artery  18 «—π
             º ¡º “π    6723443  À≠‘ß   70    1,3,4,8  Thrombosis of Middle cerebral artery  29 «—π

            (√À— )ªí®®—¬‡ ’Ë¬ß 1 Hypertension 3 Prior stroke/TIA 4 DM 6 Dyslipidemia 7 Smoker 8 Ex-smoker


            µÕπ∑’Ë 2 º≈≈—æ∏å°“√«‘®—¬


            µ“√“ß∑’Ë 2.1 §–·π𧫓¡√ÿπ·√ߢÕßÕ—¡æ“µ·≈–ª√– ‘∑∏‘º≈¢Õß‚ª√·°√¡°“√√—°…“ (®”·π°ºŸâªÉ«¬
                        √“¬∫ÿ§§≈)


                 «—µ∂ÿª√– ß§å        2      1                        2

             ‚ª√·°√¡ ‡≈¢ª√–®”µ—« SSS SSS   Effec-     §–·ππ∑’ˇª≈’ˬπ·ª≈ß·µà≈–À—«¢âÕ¬àÕ¬
                                            tive
             °“√√—°…“ ºŸâªÉ«¬ H.N.  1  2         C    O    E    F    S    A    H    L   G
                                            sss
                                            (%)  o    r    M    P    p    r    a    e    a

             øóôπøŸª°µ‘  1869242  46   58 26.09 0     2    0    0    0    0    0    0    0
             (‡æ»™“¬    2939538   41   50 21.95 0     0    0    0    0    0    0    0    9

             ∑—Èß 3 √“¬)  6681043  45  58 28.89 0     0    0    0    0    1    2    1    9
             º ¡º “π    6246243   41   50 21.95 0     0    2    0    0    0    0    1    6
             (‡æ»À≠‘ß   6470142   13   31 138.46 2    6    0    0    0    0    2    2    6
             ∑—Èß 3 √“¬)  6723443  18  30 66.67 0     0    0    0    0    2    2    2    6



            Co = Consciousness Or = Orientation  EM = Eye motion FP = Facial palsy Sp = Speech
            Ar = Arm motor power  Ha = Hand motor power   Le = Leg motor power  Ga = Gait
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