Birenbaum Dale
Academic Chairman & Program Director, Florida Hospital Emergency Medicine Residency Program, 7727, Lake Underhill Road, Orlando, Florida 32822, USA.
J Emerg Trauma Shock. 2010 Jan;3(1):52-61. doi: 10.4103/0974-2700.58662.
Ischemic stroke and brain hemorrhage are common and challenging problems faced by emergency physicians. In this article, important details in the diagnosis and clinical management of these neurological emergencies are presented with the following goals: 1) To provide a more comprehensive understanding of the approach to the identification and management of patients who have sustained ischemic and hemorrhagic strokes; 2) to explain the importance and application of commonly used national stroke scoring and outcome scales; 3) to improve the ability to recognize important aspects in the approach and comprehensive treatment of ruptured and unruptured intracranial aneurysms; and 4) to demonstrate the difficulties in the neurological, neurosurgical, and endovascular treatment of these catastrophic diseases.
缺血性卒中和脑出血是急诊医生面临的常见且具有挑战性的问题。在本文中，将阐述这些神经科急症诊断和临床管理中的重要细节，目标如下：1）更全面地了解识别和管理缺血性和出血性卒中患者的方法；2）解释常用的国家卒中评分和预后量表的重要性及应用；3）提高识别颅内动脉瘤破裂和未破裂时治疗方法及综合治疗中重要方面的能力；4）展示这些灾难性疾病在神经科、神经外科和血管内治疗方面的困难。
