Department of Neurology, Yale School of Medicine, New Haven, CT, USA.
Department of Neurology, Yale School of Medicine, New Haven, CT, USA; Division of Neurocritical Care and Emergency Neurology, Yale School of Medicine, Yale New Haven Hospital, New Haven, CT, USA.
Neurol Clin. 2021 May;39(2):391-404. doi: 10.1016/j.ncl.2021.02.001.
Stroke is a leading cause of morbidity and mortality and a major cause of long-term disability. Management of acute ischemic stroke in the first hours is critical to patient outcomes. This review provides an overview of acute ischemic stroke management, with a focus on the golden hour. Additional topics discussed include prehospital considerations and initial evaluation of the patient with history, examination, and imaging as well as treatment options, including thrombolysis and endovascular therapy.
中风是发病率和死亡率的主要原因，也是长期残疾的主要原因。在最初的几个小时内对急性缺血性中风进行管理对于患者的预后至关重要。本篇综述提供了急性缺血性中风管理的概述，重点介绍了黄金时间。此外，还讨论了包括发病前的考虑因素以及对患者的病史、检查和影像学进行的初步评估，以及治疗选择，包括溶栓和血管内治疗。
