de Ruijter Wouter
Leids Universitair Medisch Centrum, afd. Public Health en Eerstelijnsgeneeskunde, Leiden.
Ned Tijdschr Geneeskd. 2014;158(1):A7175.
Ten years after they were first published, the Dutch guidelines on cerebrovascular accident (CVA) and transient ischaemic attack (TIA) have been revised by the Dutch College of General Practitioners (NHG) and integrated into a single guideline called 'Stroke'. This commentary examines the key points from this guideline from a primary care perspective. Remarks on three issues are discussed. First, the increasing sense of urgency surrounding patients with signs and symptoms of a possible stroke. Second, the ongoing difficulties involved in diagnosing a TIA, taking the extensive differential diagnosis into account. And third, the importance of stringent secondary prevention after stroke.
荷兰关于脑血管意外（CVA）和短暂性脑缺血发作（TIA）的指南首次发布十年后，荷兰全科医生学院（NHG）对其进行了修订，并整合为一个名为“中风”的单一指南。本评论从初级保健的角度审视了该指南的要点。讨论了关于三个问题的看法。第一，对于有可能中风迹象和症状的患者，紧迫感日益增强。第二，考虑到广泛的鉴别诊断，诊断TIA仍存在困难。第三，中风后严格二级预防的重要性。
