医学
半影
溶栓
急诊分诊台
缺血性中风
冲程(发动机)
二级预防
急性中风
重症监护医学
急诊医学
缺血
组织纤溶酶原激活剂
内科学
心肌梗塞
机械工程
工程类
作者
Robert Hurford,Alakendu Sekhar,Tom Hughes,Keith W. Muir
出处
期刊:Practical Neurology
[BMJ]
日期:2020-06-07
卷期号:20 (4): 304-316
被引量:77
标识
DOI:10.1136/practneurol-2020-002557
摘要
Acute ischaemic stroke is a major public health priority and will become increasingly relevant to neurologists of the future. The cornerstone of effective stroke care continues to be timely reperfusion treatment. This requires early recognition of symptoms by the public and first responders, triage to an appropriate stroke centre and efficient assessment and investigation by the attending stroke team. The aim of treatment is to achieve recanalisation and reperfusion of the ischaemic penumbra with intravenous thrombolysis and/or endovascular thrombectomy in appropriately selected patients. All patients should be admitted directly to an acute stroke unit for close monitoring for early neurological deterioration and prevention of secondary complications. Prompt investigation of the mechanism of stroke allows patients to start appropriate secondary preventative treatment. Future objectives include improving accessibility to endovascular thrombectomy, using advanced imaging to extend therapeutic windows and developing neuroprotective agents to prevent secondary neuronal damage.
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