Rutten G E H M
Universitair Medisch Centrum Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, Postbus 85.5oo00, 3508 GA Utrecht.
Ned Tijdschr Geneeskd. 2005 Dec 17;149(51):2831-3.
The practice guideline from the Dutch College of General Practitioners regarding the diagnosis, treatment and follow-up of a patient with a cerebrovascular accident recommends the patient's referral to a so-called 'stroke-unit'. Thrombolysis within 3 hours after the onset of a stroke should be reconsidered, although its effectiveness remains disputable. The guideline does not explicitly address the GP's responsibility for secondary prevention. The role of the GP in the process of rehabilitation and follow-up in the years after the CVA is described in detail. In so doing, this phase gets the attention it deserves.
荷兰全科医生学院关于脑血管意外患者的诊断、治疗及随访的实践指南建议将患者转诊至所谓的“卒中单元”。尽管卒中发作后3小时内溶栓的有效性仍存在争议，但仍应重新考虑这一治疗方法。该指南未明确提及全科医生在二级预防中的责任。指南详细描述了全科医生在脑血管意外发生后数年的康复及随访过程中的作用。这样一来，这一阶段得到了应有的关注。
