Meyding-Lamadé U, Craemer E M, Lamadé E K, Bassa B, Enk K, Ilsen H, Jacobi C, Jost V, Lorenz M W, Mohs C, Schwark C, Zimmerlein B, Gottschalk T, Hacke W, Kress B
Klinik für Neurologie, Krankenhaus Nordwest GmbH, Steinbacher Hohl 2-26, 60488, Frankfurt, Main, Deutschland.
Medizinische Fakultät, Ludwig-Maximilians-Universität München, München, Deutschland.
Nervenarzt. 2017 Feb;88(2):141-147. doi: 10.1007/s00115-016-0267-x.
Specialized neurological treatment decreases the mortality and morbidity of stroke patients. In many regions of the world an extensive coverage is not available. The cooperation between the Krankenhaus Nordwest (KHNW, Frankfurt, Germany) and the Government of Brunei Darussalam describes the set-up process of a specialized neurological center, including stroke unit, science and rehabilitation center.
The aim of this project called to teach to treat - to treat to teach was to set up a center of excellence in neurology in Brunei Darussalam over a distance of 12,000 km. Treatment options were elucidated by teaching and taught by case examples.
The construction of the Brunei Neuroscience Stroke and Rehabilitation Center (BNSRC) began in July 2010. To overcome the large distance between the department of neurology and neuroradiology at the KHNW and the BNSRC, a telemedical network was established. We provided daily teleteaching for all professions involved in patient care as well as 24/7 availability of teleneurological services from Germany to support the local team on site.
In the BNSRC unit over 1000 patients with ischemic and hemorrhagic stroke and all the various acute neurological conditions were treated from July 2010 until July 2016 as inpatients and over 5000 were treated as outpatients. Since 2010, a total of 52 patients with stroke were treated by thrombolysis within the thrombolytic window and 81 hemicraniectomies were performed.
The project has shown that it is possible to convey specialized neurological knowledge over large distances to provide significant benefits for patients and caregivers.
专业的神经学治疗可降低中风患者的死亡率和发病率。在世界许多地区，这种广泛的覆盖尚未实现。德国法兰克福的西北医院（KHNW）与文莱达鲁萨兰国政府之间的合作描述了一个专业神经学中心的建立过程，包括中风单元、科研与康复中心。
这个名为“边教边治 - 边治边教”的项目旨在在12000公里的距离之外，在文莱达鲁萨兰国建立一个卓越的神经学中心。通过教学阐释治疗方案，并通过实例进行讲解。
文莱神经科学中风与康复中心（BNSRC）的建设于2010年7月开始。为克服KHNW的神经科和神经放射科与BNSRC之间的远距离问题，建立了一个远程医疗网络。我们为参与患者护理的所有专业人员提供每日远程教学，并从德国提供全天候的远程神经学服务，以支持当地现场团队。
从2010年7月到2016年7月，BNSRC单元共收治了1000多名缺血性和出血性中风患者以及所有各种急性神经疾病患者，门诊治疗超过5000例。自2010年以来，共有52例中风患者在溶栓时间窗内接受了溶栓治疗，实施了81例去骨瓣减压术。
该项目表明，远距离传授专业神经学知识可为患者和护理人员带来显著益处。
