Biller J, Love B B
Department of Neurology, University of Iowa College of Medicine, Iowa City.
Clin Geriatr Med. 1991 Aug;7(3):455-73.
Stroke ranks third as a cause of death in much of the industrial world, surpassed only by heart disease and cancer. Thrombotic and embolic arterial occlusions are the leading causes of cerebral infarction. Once a major cerebral infarction has occurred, therapy is limited to the prevention of complications and rehabilitation. Identification and treatment of stroke-prone patients are now not a standard part of medical practice. However, the proper management of the patient with acute cerebral ischemic or progressing stroke is a subject of debate. Treatment of progressing or acute cerebral ischemia is aimed at prevention of infarction in areas of the brain that are still viable. A number of therapeutic strategies are currently being investigated in the management of ischemic stroke.
在许多工业化国家，中风是第三大致死原因，仅次于心脏病和癌症。血栓形成和栓塞性动脉闭塞是脑梗死的主要原因。一旦发生大面积脑梗死，治疗仅限于预防并发症和康复。识别和治疗易患中风的患者目前并非医疗实践的标准组成部分。然而，对急性脑缺血或进展性中风患者的恰当管理仍是一个有争议的话题。治疗进展性或急性脑缺血旨在预防大脑仍有活力区域的梗死。目前正在研究多种治疗策略来管理缺血性中风。
