Sareen D
Department of Neurology, St. Stephen's Hospital, Tis Hazari, New Delhi.
J Assoc Physicians India. 2002 Mar;50:407-14.
The treatment of stroke is multifaceted, and is governed by three, well established goals: 1) To minimize the extent of brain; 2) To medically support the stroke patient; and 3) To prevent further brain injury secondary to initial event or repeated vascular insults. Certain guidelines for emergency care, based on clinical experience and knowledge of pathophysiology, have been accepted in many institutions as the standard. This article provides guidelines about the current management of acute ischemic stroke based on currently available data from clinical trials. The target audiences for this article are emergency room physicians and neurologists, who manage the patients during the first few hours after stroke.
中风的治疗是多方面的,受三个既定目标的指导:1)将脑损伤程度降至最低;2)为中风患者提供医疗支持;3)预防继发于初始事件或反复血管损伤的进一步脑损伤。基于临床经验和病理生理学知识的某些急诊护理指南已在许多机构被接受为标准。本文根据临床试验的现有数据提供急性缺血性中风当前管理的指南。本文的目标受众是急诊室医生和神经科医生,他们在中风后的最初几个小时内负责治疗患者。