Birmingham Acute Care Research Group, Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Department of Intensive Care Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Br J Hosp Med (Lond). 2021 Jan 2;82(1):1-9. doi: 10.12968/hmed.2020.0123. Epub 2021 Jan 18.
Acute ischaemic stroke is a leading cause of morbidity and mortality worldwide. In the UK alone, there are more than 100 000 strokes per year, causing 38 000 deaths. While the incidence remains high, there has been significant medical progress in reducing mortality following a stroke. Admission of patients to specialised stroke units has led to an improvement in clinical outcomes, but the role of intensive care is less well defined. This article reviews the current critical care management and neuro-therapeutic options after an acute ischaemic stroke.
急性缺血性脑卒中是全球范围内发病率和死亡率的主要原因。仅在英国,每年就有超过 100 000 例中风,导致 38 000 人死亡。尽管发病率仍然很高,但在降低中风死亡率方面已经取得了重大的医学进展。将患者收治到专门的卒中单元可改善临床结局,但强化治疗的作用尚未明确界定。本文回顾了急性缺血性脑卒中后的重症监护管理和神经治疗选择。