Lutsep H L
Department of Neurology, Oregon Stroke Center, Oregon Health Sciences University, Portland, Oregon 97201, USA.
Neuroimaging Clin N Am. 1999 Aug;9(3):401-9.
This article outlines the evaluation and management of acute stroke patients in the emergency room and during the acute stroke period. Although a few neurologic and metabolic processes can mimic stroke, a stroke can often be diagnosed and localized from the history and examination. The availability of a treatment that must be given within 3 hours of symptom onset, tissue plasminogen activator (tPA), necessitates that the initial evaluation be streamlined. The assessment of the potential tPA candidate requires specific attention to bleeding risks. All stroke patients benefit from interventions to limit complications in the acute period although in the thrombolytic-treated patient, blood pressures are managed more aggressively to prevent intracranial hemorrhage.
本文概述了急诊室及急性卒中期间急性卒中患者的评估与管理。尽管一些神经和代谢过程可能类似卒中，但通常可根据病史和检查对卒中进行诊断和定位。由于必须在症状出现后3小时内给予的治疗药物组织型纤溶酶原激活剂（tPA）的存在，需要简化初始评估。对潜在的tPA治疗候选者进行评估时需要特别关注出血风险。所有卒中患者都能从急性期限制并发症的干预措施中获益，不过对于接受溶栓治疗的患者，需更积极地控制血压以预防颅内出血。
