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Brozman \par Neurologick\'e1 klinika FN Nitra \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 Typy NCMP \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf14\pnfs42 {\pntxtb n}}\faauto\ls1\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 I 60: SAH \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}I 61: HEMORAGIA \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}I 63: LIM \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}I 69: stp. NCMP \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 Karotick\'e1 ateroskler\'f3za \endash mozgov\'e1 isch\'e9mia \par Jednotn\'e1 fyziol\'f3gia a patofyziol\'f3gia \line kardio-cerebro-vaskul\'e1rneho syst\'e9mu }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }{\f1\fs18\cf1 Patogen\'e9za mozgov\'e9ho infarktu }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par {\pntext\pard\plain\s2 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls2\pnrnot0\pnf14\pnfs45 {\pntxtb \'95}}\faauto\ls2\outlinelevel1\rin0\lin960\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 aterotrombotick\'e1 \par {\pntext\pard\plain\s2 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'95\tab}tromboembolick\'e1 }{\f1\fs18\cf1 ( artery-to-artery )}{\f1\fs18\cf1 \par {\pntext\pard\plain\s2 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'95\tab}kardioembolick\'e1 \par {\pntext\pard\plain\s2 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'95\tab}}{\f38\fs18\cf1 in\'e1 \endash vaskulit\'eddy, koagulopathie, at\'ef.}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 CT,MR,MRA,DSA u NCMP \par }\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 SAH \par }{\f1\fs18\cf1 }{\f1\fs18\cf1 LIM \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\ul\cf1 Predpoklady}{\f1\fs18\ul\cf1 }{\f38\fs18\ul\cf1 lie\'e8by ak\'fatnej mozgovej isch\'e9mie \par {\pntext\pard\plain\s2 \f14\fs48\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs48 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 Neurologick\'e9 sympt\'f3my neznamenaj\'fa definit\'edvne po\'9akodenie mozgu \par {\pntext\pard\plain\s2 \f14\fs48\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f38\fs18\cf1 Nervov\'e9 tkanivo je schopn\'e9 pre\'9ei\'9d kritick\'fa perf\'faziu 12ml / 100g / min \par {\pntext\pard\plain\s2 \f14\fs48\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}Reperf\'fazia m\'f4\'9ee by\'9d spont\'e1nna alebo terapeutick\'e1 \par {\pntext\pard\plain\s2 \f14\fs48\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}Reperf\'fazne \'93okno\'93 sa u \'beud\'ed odhaduje na 4 h \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 MR patogen\'e9za mozgov\'e9ho infarktu}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f38\fs18\cf1 Z\'e1kladn\'e9 lie\'e8ebn\'e9 z\'e1sady }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs18\cf1 }{\b\f38\fs18\ul\cf1 V\'9aeobecn\'e1 starostlivos\'9d}{\b\f1\fs18\cf1 \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}\pard\plain \s3\ql \fi-960\li2328\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls4\pnrnot0\pnf14\pnfs38 {\pntxtb \'a8}}\faauto\ls4\outlinelevel2\rin0\lin2328\itap0 \fs48\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs18\cf1 TK, P, TT, neurologick\'fd status \par }\pard \s3\ql \fi-960\li2328\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel2\rin0\lin2328\itap0 {\b\f1\fs18\cf1 }{\b\f1\fs18\cf1 ( NIHSS, SSS, GCS, TSS ) \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}\pard \s3\ql \fi-960\li2328\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls4\pnrnot0\pnf14\pnfs38 {\pntxtb \'a8}}\faauto\ls4\outlinelevel2\rin0\lin2328\itap0 {\b\f1\fs18\cf1 pulzn\'e1 oxymetria, CVK, O2 \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}{\b\f38\fs18\cf1 TK: > 185 / 110 LIE\'c8I\'8d ! \par }\pard \s3\ql \fi-960\li2328\ri0\nowidctlpar\faauto\outlinelevel2\rin0\lin2328\itap0 {\b\f1\fs18\ul\cf1 \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}\pard \s3\ql \fi-960\li2328\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls4\pnrnot0\pnf14\pnfs38 {\pntxtb \'a8}}\faauto\ls4\outlinelevel2\rin0\lin2328\itap0 {\b\f38\fs18\ul\cf1 doporu \'e8en\'e9 hodnoty }{\b\f1\fs18\ul\cf1 TK : 140-180 / 90-100 \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}{\b\f38\fs18\cf1 kardi\'e1lna lie\'e8ba ( ICHS, dysrytmie ) \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}{\b\f1\fs18\cf1 glyk\'e9mia > 10 mmol/l = inzul\'edn \par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}TT > 37,5 }{\b\fs18\cf1\loch\af1 \loch\af1\dbch\af0\hich\f0 \'b0}{\b\f1\fs18\cf1 C = antipyretik\'e1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs18\cf1 Z\'e1kladn\'e9 predpoklady \par }{\f1\fs18\cf1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 I.v. rt-PA - Nitra 1998 \endash }{\f1\fs18\cf1 2003 (n = 67) }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }{\shad\f1\fs18\cf7 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 I.v. rt-PA - Nitra 1998 \endash }{\f1\fs18\cf1 2003 (n = 67)}{\shad\f1\fs18\cf7 }{\shad\f1\fs18\cf7\lang1029\langfe1051\langnp1029 \par }\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\ul\cf1 Charakteristiky s\'faboru}{\f1\fs18\cf1 : \par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls5\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\ul\cf1 Terapeutick\'fd interval \par {\pntext\pard\plain\s2 \fs30\cf1 \loch\af0\dbch\af0\hich\f0 \'95\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls6\pnrnot0\pnfs30 {\pntxtb \'95}}\faauto\ls6\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\cf1 Rozp\'e4tie: 15 \endash 300 min \par {\pntext\pard\plain\s2 \fs30\cf1 \loch\af0\dbch\af0\hich\f0 \'95\tab}}{\f38\fs18\cf1 Priemern\'fd \'e8as: 164 min \par {\pntext\pard\plain\s2 \fs30\cf1 \loch\af0\dbch\af0\hich\f0 \'95\tab}}{\f1\fs18\cf1 Onset-to-door: 60 \endash 90 min \par {\pntext\pard\plain\s2 \fs30\cf1 \loch\af0\dbch\af0\hich\f0 \'95\tab}Door-to-needle: 60 \endash 90 min \par {\pntext\pard\plain\s2 \fs30\cf1 \loch\af0\dbch\af0\hich\f0 \'95\tab}Door-to-CT: 30 \endash 60 min \par {\pntext\pard\plain\s2 \fs30\cf1 \loch\af0\dbch\af0\hich\f0 \'95\tab}}{\f38\fs18\cf1 6 \endash ro\'e8n\'e9 sk\'fasenosti: \par }\pard\plain \s3\ql \fi-450\li1170\ri0\nowidctlpar\faauto\outlinelevel2\rin0\lin1170\itap0 \fs48\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 }{\f1\fs18\cf1 137 \endash 190 min \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 Kazuistika }{\f1\fs18\cf1 4.8.2001}{ \f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf14\pnfs36 {\pntxtb n}} \faauto\ls5\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f38\fs18\cf1\lang1029\langfe1051\langnp1029 pac. D.S., 47 r., vodi\'e8 \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 rizikov\'e9 faktory: nie s\'fa zn\'e1me}{\f1\fs18\cf1 \par }\pard \s2\ql \fi-540\li540\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin540\itap0 {\f38\fs18\cf1 ( de\'f2 predt\'fdm bol na oslave \'9350\'93 ) \par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls5\outlinelevel1\rin0\lin540\itap0 {\f38\fs18\cf1 TO: o 08.45 mu vypadli k\'be\'fa\'e8e od auta z pravej ruky, oslabli mu prav\'e9 kon\'e8atiny, nemohol hovori\'9d \par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f1\fs18\cf1 o 09.15 OUM, 09.55 CT, 10.20 JIS \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 klinick\'fd n\'e1lez: }{\f1\fs18\cf1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 devi\'e1cia hlavy}{ \f1\fs18\cf1 }{\f38\fs18\cf1\lang1029\langfe1051\langnp1029 do\'beava, expres\'edvna af\'e1zia,}{\f1\fs18\cf1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 centr.l\'e9zia n.VII l.dx.,}{\f1\fs18\cf1 }{\f38\fs18\cf1\lang1029\langfe1051\langnp1029 pravostrann\'e1 \'9da\'9ek\'e1 hemipar\'e9za \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 NIHSS 1}{\f1\fs18\cf1 4 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 b}{\f1\fs18\cf1 .}{ \f1\fs18\cf1\lang1029\langfe1051\langnp1029 }{\f1\fs18\cf1 \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f38\fs18\cf1\lang1029\langfe1051\langnp1029 CT mozgu: bez \'e8erstv\'fdch lo\'9eiskov\'fdch zmien \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\b\f1\fs18\cf1\lang1029\langfe1051\langnp1029 terapeutick\'e9 okno: }{\b\f1\fs18\cf1 100}{\b\f1\fs18\cf1\lang1029\langfe1051\langnp1029 min \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 Actilyse: celk. d\'e1vka 50 mg}{\f1\fs18\cf1 ( 0,625 mg / kg )}{ \f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 Kazuistika}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf14\pnfs42 {\pntxtb n}}\faauto\ls1\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 postupn\'e1 }{\f38\fs18\cf1\lang1029\langfe1051\langnp1029 \'faprava re\'e8i a}{\f1\fs18\cf1 m}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 otoriky}{\f38\fs18\cf1 po\'e8as 10 dn\'ed}{ \f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par {\pntext\pard\plain\s2 \f14\fs42\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f38\fs18\cf1\lang1029\langfe1051\langnp1029 UZV mozg. art\'e9ri\'ed: susp. sten\'f3za MCA v\'beavo }{\f1\fs18\cf1 \par }\pard \s2\ql \fi-540\li540\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\cf1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 v \'faseku M1-2 \par {\pntext\pard\plain\s2 \f14\fs42\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf14\pnfs42 {\pntxtb n}}\faauto\ls1\outlinelevel1\rin0\lin540\itap0 { \f1\fs18\cf1\lang1029\langfe1051\langnp1029 ECHOKG, Holter monitoring: bez patol. n\'e1lezu \par {\pntext\pard\plain\s2 \f14\fs42\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}prepustenie: }{\f1\fs18\cf1 o}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 12 dn\'ed}{\f1\fs18\cf1 \par {\pntext\pard\plain\s2 \f14\fs42\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 mRS}{\f1\fs18\cf1 }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 1}{\f1\fs18\cf1 b.}{ \f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\cf1 Kazuistika }{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par {\pntext\pard\plain\s2 \f14\fs36\cf1\lang1029\langfe1051\langnp1029 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf14\pnfs36 {\pntxtb n}} \faauto\ls5\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f38\fs18\cf1\lang1029\langfe1051\langnp1029 MR mozgu: malacia rubra periventrikul\'e1rne v\'beavo}{\f1\fs18\cf1 \par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}MRA: sten\'f3za M1 \endash M2 \'faseku MCA sin}{\f1\fs18\cf1\lang1029\langfe1051\langnp1029 \par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f38\fs18\cf1 Z\'e1kladn\'e9 z\'e1sady lie\'e8by NCMP \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf14\pnfs42 {\pntxtb n}}\faauto\ls1\outlinelevel1\rin0\lin540\itap0 \fs56\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs18\ul\cf1 Ak\'fatna LIM}{\f38\fs18\cf1 : trombolytick\'e1 lie\'e8ba do 3-5 hod \par }\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\cf1 protied\'e9mov\'e1}{\f38\fs18\cf1 a vazoakt\'edvna lie\'e8ba \par po\'e8as \'efa\'be\'9a\'edch 24-48-72 hod \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf14\pnfs42 {\pntxtb n}}\faauto\ls1\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\ul\cf1 Mozgov\'e1 hemoragia}{\f1\fs18\cf1 : oper\'e1cia-evaku\'e1cia do 24 hod \par }\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\cf1 odlo\'9een\'e1 oper\'e1cia po 24 hod \endash 7 dn\'ed \par {\pntext\pard\plain\s2 \f14\fs42\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf14\pnfs42 {\pntxtb n}}\faauto\ls1\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\ul\cf1 SAH}{ \f38\fs18\cf1 : okam\'9eit\'e1 angiografia po\'e8as 24 hod \par }\pard \s2\ql \fi-540\li540\ri0\nowidctlpar\faauto\outlinelevel1\rin0\lin540\itap0 {\f1\fs18\cf1 okam\'9eit\'e1 oper\'e1cia \par odlo\'9een\'e1 angiografia = odlo\'9een\'e1 oper\'e1cia \par \par }}