Department of Neurology, School of Medicine, University of Washington, Seattle, Washington, USA.
J Hosp Med. 2010 Jan;5(1):33-40. doi: 10.1002/jhm.518.
Acute ischemic stroke is commonly encountered by the hospitalist. There have been dramatic changes in our ability to care for these patients acutely. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) primary stroke center certification has become progressively more important to institutions nationally and includes many aspects of initial evaluation and treatment.
Acute treatment involves the rapid assimilation of patient characteristics, laboratory results, and imaging results. There are a growing number of potential acute therapies with a range of risk, benefit, necessary time windows, and specific eligibility criteria.
Primary trials, current guidelines.
The hospitalist is well-positioned to play a major role in the treatment of stroke patients as well as the systems work that aids in the management of this population.
急性缺血性脑卒中是医院医生常见的病症。我们对这些患者进行急性治疗的能力已经有了显著的提高。联合委员会认证的脑卒中治疗中心（JCAHO）已经成为了全国医疗机构越来越重要的认证标准，其中包含了初始评估和治疗的多个方面。
急性治疗涉及到快速综合患者特征、实验室结果和影像学结果。有越来越多的潜在急性治疗方法，具有不同的风险、获益、必要的时间窗和特定的入选标准。
主要试验、现行指南。
作为系统工作的一部分，主治医生在治疗脑卒中患者方面以及帮助管理该人群方面都能发挥重要作用。
