Neurology Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Neurology Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Chest. 2011 Mar;139(3):694-700. doi: 10.1378/chest.10-1530.
Patients with acute ischemic and hemorrhagic stroke are often managed in a critical care setting. Disturbances in BP, body temperature, and serum glucose are commonly observed but their management remains controversial. The reversal of antithrombotic medications and prognostication are especially challenging for intracerebral hemorrhages. This review highlights recent clinical trials and the recommendations found in international guidelines relevant to these topics. We aim to provide a practical and brief, yet current, review of these more problematic areas of stroke care.
急性缺血性和出血性脑卒中患者通常在重症监护环境中进行管理。血压、体温和血清葡萄糖的紊乱很常见，但它们的管理仍然存在争议。抗血栓药物的逆转和预后预测对脑出血尤其具有挑战性。本综述强调了与这些主题相关的最近临床试验和国际指南中的建议。我们旨在提供这些更具挑战性的卒中护理领域的实用、简明且最新的综述。
