Bader Mary Kay, Palmer Sylvain
Mission Hospital, Mission Viejo, CA 92688, USA.
AACN Adv Crit Care. 2006 Apr-Jun;17(2):194-214.
Ischemic stroke patients presenting to acute care hospitals require an organized response from multiple disciplines and clinical areas. Patients presenting within 6 hours of stroke onset constitute a category of stroke patient known as the "hyperacute stroke patient." This category of stroke patients is eligible for treatment using intravenous recombinant tissue plasminogen activator when treated within 3 hours, or interventional treatment options when treated within 6 hours of stroke onset. Guidelines have been established identifying critical elements for hospitals in order to be designated as primary or comprehensive stroke centers. Research studies exploring treatment options for stroke, as well as general care priorities exist in the scientific literature but must be integrated into hospital-based protocols. Recommended interventions are highlighted to assist critical care practitioners in the delivery of care for stroke patients. Coordinated teams using an evidence-based approach can optimize the outcomes of the stroke patient population.
入住急症医院的缺血性中风患者需要多学科及临床领域的有序应对。在中风发作6小时内就诊的患者属于一类被称为“超急性中风患者”的中风患者。这类中风患者在中风发作3小时内接受治疗时可使用静脉注射重组组织型纤溶酶原激活剂进行治疗，在中风发作6小时内接受治疗时可采用介入治疗方案。已经制定了指南，确定了医院被指定为初级或综合中风中心的关键要素。科学文献中有探索中风治疗方案以及一般护理重点的研究，但必须将其纳入医院协议。重点介绍了推荐的干预措施，以协助重症护理从业者为中风患者提供护理。采用循证方法的协调团队可以优化中风患者群体的治疗效果。
