Woessner R, Treib J
Neurologische Klinik, Westpfalz-Klinikum, Kaiserslautern.
MMW Fortschr Med. 2002 Jun 27;144(26):24-8.
In industrialized countries, stroke is the third most common cause of death, and often leads to permanent disability. When clinical suspicion is raised, a thorough diagnostic work-up and treatment must be initiated without delay. In recent years, decisive advances have been made in this area, and the pathophysiological categorization of ischemic cerebral infarction has become accepted, with the modern imaging procedures having played a significant role. Reliable differentiation from intracerebral hemorrhage is enabled in particular by CCT and MRI, and is of great importance both for acute treatment and secondary prevention. Stroke units make available the necessary equipment and personnel. Patients who receive initial treatment on a stroke unit are already benefiting from a 31% reduction in mortality and severe disability.
在工业化国家，中风是第三大常见死因，且常常导致永久性残疾。一旦临床怀疑中风，必须立即展开全面的诊断检查和治疗。近年来，该领域取得了决定性进展，缺血性脑梗死的病理生理分类已被认可，现代成像技术发挥了重要作用。尤其是计算机断层扫描（CCT）和磁共振成像（MRI）能够可靠地区分脑出血，这对急性治疗和二级预防都极为重要。卒中单元配备了必要的设备和人员。在卒中单元接受初始治疗的患者已从死亡率和严重残疾率降低31%中获益。
