Wada Kuniyasu, Hashimoto Yoichiro, Nakajima Makoto, Ueda Mitsuharu
Department of Neurology, Kumamoto City Hospital.
Department of Neurology, Graduate School of Medical Sciences, Kumamoto University.
Rinsho Shinkeigaku. 2020 Dec 26;60(12):822-839. doi: 10.5692/clinicalneurol.cn-001529. Epub 2020 Nov 20.
Due to the pandemic of corona virus disease 2019 (COVID-19), the stroke medical care system is unavoidably undergoing major changes such as a decrease in the number of stroke patients receiving consultation, delay in consultation, and a decrease in the number of intravenous thrombolysis and mechanical thrombectomy procedures. Stroke incidence in COVID-19 patients is approximately 1.1%. The features of stroke with COVID-19 have been elucidated: higher incidence in ischemic stroke than hemorrhagic stroke, increasing number of young patients, high D-dimer levels, and higher risk in elderly patients with cardiovascular risk factors such as hypertension and diabetes. In patients with COVID-19, venous thromboembolism is more common than arterial thromboembolism, and stroke is more common than acute coronary syndrome. Protected code stroke (PCS) has been proposed which provides safe, effective and prompt treatment under complete infection control.
由于2019年冠状病毒病(COVID-19)大流行,中风医疗系统不可避免地正在经历重大变化,例如接受会诊的中风患者数量减少、会诊延迟以及静脉溶栓和机械取栓手术数量减少。COVID-19患者的中风发病率约为1.1%。COVID-19相关性中风的特征已得到阐明:缺血性中风的发病率高于出血性中风,年轻患者数量增加,D-二聚体水平升高,以及患有高血压和糖尿病等心血管危险因素的老年患者风险更高。在COVID-19患者中,静脉血栓栓塞比动脉血栓栓塞更常见,中风比急性冠状动脉综合征更常见。已经提出了受保护的中风代码(PCS),可在完全感染控制下提供安全、有效和及时的治疗。