Aulich K, Haberl R L
Abt. für Neurologie und klinische Neurophysiologie, Krankenhaus München Harlaching, München.
MMW Fortschr Med. 2001 Mar 15;143(11):33-6.
Stroke units are monitoring centers providing for acute diagnostic work-up, immediate treatment and initial rehabilitation measures in patients suffering a stroke. Indications for admission to a stroke unit are, firstly, a suspected fresh stroke or a transient ischemic attack, provided the symptoms are not older than 24 hours, and, secondly, progressive, unstable symptoms. A major aspect of the stroke unit is the establishment of a differential diagnosis, which provides the basis for establishing the urgent treatment of an apoplectic attack. The goal is to prevent the progression of symptoms, which occurs in one-third of patients and leads to permanent sequelae. Using a number of cases, the activities of a stroke unit are described. To improve the acute management of such patients, a close network of regional and national stroke units needs to be put in place.
卒中单元是为中风患者提供急性诊断检查、即时治疗和初始康复措施的监测中心。入住卒中单元的指征，首先是疑似新发中风或短暂性脑缺血发作，前提是症状出现不超过24小时，其次是症状进行性加重且不稳定。卒中单元的一个主要方面是进行鉴别诊断，这为确立中风发作的紧急治疗提供了依据。目标是预防三分之一患者出现的症状进展，而这种进展会导致永久性后遗症。通过一些病例描述了卒中单元的活动。为改善此类患者的急性管理，需要建立一个紧密的区域和国家卒中单元网络。
