Keigher Kiffon M
Neurosurgery & Neuroendovascular, Advocate Lutheran General Hospital, Chicago, IL, USA; Advocate Aurora Health, Chicago, IL, USA.
Crit Care Nurs Clin North Am. 2020 Mar;32(1):21-36. doi: 10.1016/j.cnc.2019.11.007. Epub 2019 Dec 24.
Acute ischemic stroke is a major cause of death and disability in the United States. Historically, acute stroke patients were treated with intravenous (IV) thrombolysis. Patients with large vessel occlusions (LVOs) should be offered mechanical thrombectomy, with or without IV thrombolysis, in an extended window up to 24 hours of last known well. Both treatment options are the standard of care for a patient with an LVO. It is critical that the intensive care unit nurse understand new treatment indications for LVO strokes, and the priorities of nursing care with medical and endovascular intervention.
急性缺血性中风是美国死亡和残疾的主要原因。从历史上看，急性中风患者接受静脉溶栓治疗。对于大血管闭塞（LVO）患者，无论是否进行静脉溶栓，都应在最后一次已知健康状态后的24小时延长时间窗内进行机械取栓。这两种治疗选择都是LVO患者的标准治疗方法。重症监护病房护士必须了解LVO中风的新治疗指征，以及医疗和血管内介入治疗中护理的重点。
