溶栓
昼夜节律
医学
节奏
冲程(发动机)
重症监护医学
缺血性中风
再灌注治疗
神经科学
心脏病学
内科学
物理医学与康复
缺血
心理学
工程类
心肌梗塞
机械工程
作者
Xianxian Zhang,Qi Fang
出处
期刊:Chin J Neurol
日期:2020-01-08
卷期号:53 (1): 55-63
标识
DOI:10.3760/cma.j.issn.1006-7876.2020.01.011
摘要
Wake-up stroke (WUS) is clinically defined as ischemic stroke that is associated with neurological deficits on awakening, accounting for approximately one in five individuals presenting with an acute ischemic stroke. At present, the mechanism of WUS onset is still unclear, and whether circadian mechanisms are involved deserves further exploration. Previously, these patients were missed the opportunity of reperfusion therapy due to unknown onset time. Recent studies have changed this concept. Intravenous thrombolysis or mechanical thrombectomy can be performed in appropriate patients after imaging evaluation, thus improving the prognosis of some patients with WUS. This article summarizes the latest research in recent years.
Key words:
Stroke; Circadian rhythm; Thrombolytic therapy; Mechanical thrombectomy
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