Demaerschalk Bart M
Mayo Clinic College of Medicine, Department of Neurology, Mayo Clinic Scottsdale, Scottsdale, Arizona 85259, USA.
Semin Neurol. 2003 Sep;23(3):241-52. doi: 10.1055/s-2003-814740.
Clinicians commonly encounter patients with cerebrovascular disorders in the hospital. Now, as never before, there are many effective diagnostic and therapeutic modalities. Several examples of typical cases of stroke and transient ischemic attack are presented in order to illustrate a rational approach to diagnosis and treatment. A redefinition of transient ischemic attack and stroke, salient elements of the neurological history and examination, localization techniques, stroke mimickers, mechanisms of infarction and hemorrhage, acute stroke teams, thrombolysis, and secondary prevention are highlighted.
临床医生在医院中经常会遇到患有脑血管疾病的患者。如今，有效诊断和治疗方法的数量之多前所未见。本文列举了中风和短暂性脑缺血发作的几个典型病例，以说明合理的诊断和治疗方法。文中重点介绍了短暂性脑缺血发作和中风的重新定义、神经病史和检查的显著要素、定位技术、中风疑似病例、梗死和出血机制、急性中风治疗团队、溶栓治疗以及二级预防。
