Guanci Mary McKenna
Massachusetts General Hospital, Lunder Building 6th Floor ICU, 55 Fruit St, Boston, MA 02114, USA.
Crit Care Nurs Clin North Am. 2020 Mar;32(1):51-66. doi: 10.1016/j.cnc.2019.11.003. Epub 2019 Dec 23.
Malignant hemispheric stroke occurs in 10% of ischemic strokes and has one of the highest mortality and morbidity rates. This stroke, also known as malignant middle cerebral artery stroke, may cause ischemia to an entire hemisphere causing edema, herniation, and death. A collaborative interdisciplinary team approach is needed to manage these complex stroke patients. The nurse plays a vital role in bedside management and support of the patient and family through this complex course of care. This article discusses malignant middle cerebral artery stroke pathophysiology, techniques to predict patients at risk for herniation, collaborative care strategies, and nursing care.
恶性半球性卒中占缺血性卒中的10%，其死亡率和发病率位居前列。这种卒中，也被称为恶性大脑中动脉卒中，可能导致整个半球缺血，进而引发水肿、脑疝和死亡。需要一个跨学科协作团队来管理这些复杂的卒中患者。在这一复杂的护理过程中，护士在床边管理以及对患者和家属的支持方面发挥着至关重要的作用。本文讨论了恶性大脑中动脉卒中的病理生理学、预测脑疝风险患者的技术、协作护理策略以及护理措施。
