Department of Neurology, School of Medicine, University of Washington, Seattle, Washington, USA.
J Hosp Med. 2010 Feb;5(2):88-93. doi: 10.1002/jhm.585.
Acute ischemic stroke is commonly encountered by the hospitalist. There have been dramatic changes in our ability to care for these patients both acutely and in secondary prevention. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) primary stroke center certification has become progressively more important to institutions nationally and emphasizes many elements of the inpatient stay and discharge process.
After admission, the focus changes to avoidance of complications and the appropriate initiation of allied therapies and secondary prevention.
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。我们在急性和二级预防方面治疗这些患者的能力已经有了显著的提高。联合委员会认证的医疗机构（JCAHO）一级脑卒中中心认证对全国的医疗机构变得越来越重要，强调了住院期间和出院过程中的许多环节。
入院后，重点转为避免并发症，并适当启动联合治疗和二级预防。
主要试验，现行指南。
医院医生非常适合在脑卒中患者的治疗以及有助于管理这一人群的系统工作中发挥重要作用。
