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利用远程医疗增加急性缺血性卒中的溶栓治疗并推进医疗护理。

Use of telemedicine to increase thrombolysis and advance care in acute ischemic stroke.

作者信息

Henninger Nils, Chowdhury Nabi, Fisher Marc, Moonis Majaz

机构信息

Department of Neurology, University of Massachusetts Medical School, Worcester, MA, USA.

出版信息

Cerebrovasc Dis. 2009;27 Suppl 4:9-14. doi: 10.1159/000213053. Epub 2009 Jun 18.

Abstract

The use of the only proven therapy for acute ischemic stroke, intravenous tissue plasminogen activator (tPA), remains disappointingly low. One potential way to increase the use of tPA is by the implementation of telemedicine stroke care networks. Preliminary data from several studies indicate that the safe and expanded use of tPA for ischemic stroke can be accomplished with the help of telemedicine. Telemedicine stroke care networks can also be used in the future to enhance stroke diagnosis with advanced CT and MRI technology and to potentially increase the number of patients referred to tertiary stroke centers for intra-arterial therapies. It is highly likely that telemedicine stroke care will substantially enhance acute stroke therapy for remote and underserved populations.

摘要

治疗急性缺血性中风唯一经证实有效的疗法——静脉注射组织型纤溶酶原激活剂(tPA)的使用率仍然低得令人失望。增加tPA使用的一种潜在方法是实施远程医疗中风护理网络。多项研究的初步数据表明,借助远程医疗可以实现tPA在缺血性中风治疗中的安全且广泛应用。远程医疗中风护理网络未来还可用于借助先进的CT和MRI技术加强中风诊断,并有可能增加转诊至三级中风中心接受动脉内治疗的患者数量。远程医疗中风护理极有可能大幅改善对偏远地区和医疗服务不足人群的急性中风治疗。

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