Bhalla Ajay, Patel Mehool, Birns Jonathan
St Thomas' Hospital, London, UK
University Hospital Lewisham, Lewisham, UK.
Clin Med (Lond). 2021 May;21(3):215-221. doi: 10.7861/clinmed.2020-0998. Epub 2021 May 4.
This article aims to provide a comprehensive overview of key advances on various aspects of hyper-acute management of acute ischaemic stroke. These include neuroimaging, acute stroke unit care, management of blood pressure, reperfusion therapy including intravenous thrombolysis, mechanical thrombectomy and decompressive hemicraniectomy for malignant stroke syndrome. The challenge ahead is to ensure these evidence-based treatments are now being delivered and implemented to maximise the benefits across the population.
本文旨在全面概述急性缺血性脑卒中超急性期管理各方面的关键进展。这些进展包括神经影像学、急性卒中单元护理、血压管理、再灌注治疗，如静脉溶栓、机械取栓以及针对恶性卒中综合征的减压性颅骨切除术。未来面临的挑战是确保这些基于证据的治疗方法能够得到应用和实施，以使整个人群获得最大益处。
