Department of Neurology, Boston Medical Center, Boston, MA, USA.
Neurology. 2012 Sep 25;79(13 Suppl 1):S182-91. doi: 10.1212/WNL.0b013e31826958d3.
Periprocedural medical management is an important aspect in optimizing the outcome of patients who undergo endovascular treatment for acute ischemic stroke. Blood pressure, fluid hydration, and antithrombotics are some of the elements that need to be tailored carefully to the patient according to the patency of his or her cerebral vasculature, the extent of his or her infarct, and the potential for hemorrhagic transformation. This article reviews the medical care of acute stroke patients before and after endovascular therapy.
血管内治疗急性缺血性脑卒中患者的围手术期医学管理是优化患者预后的一个重要方面。根据患者脑血管的通畅情况、梗死程度和出血转化的风险,需要仔细调整血压、液体水化和抗血栓药物等要素。本文回顾了血管内治疗前后急性脑卒中患者的医疗护理。