Najmi Imane, Idrissi Saber Janati, Bensouda Khadija, Marzouki Zineb, Dinia Mohammed, Talbi Ilyass, Benmaamar Soumaya, Bouchal Siham, El Fakir Samira, El Rhazi Karima, Fihri Oussama Fassi, Belahsen Mohammed Faouzi
Unité Neurovasculaire, Clinique Internationale Al Badie, 355 Lotissement Jardins El Badie, Ain Chkf, 30000 Fès, Maroc.
Service des Urgences, Clinique Internationale Al Badie, Fès, Maroc.
Pan Afr Med J. 2024 Apr 4;47:167. doi: 10.11604/pamj.2024.47.167.42376. eCollection 2024.
Intravenous thrombolysis is the standard treatment for acute ischemic stroke. We here report the cases of thrombolysis alert in the private sector in Morocco We conducted a prospective study of all patients with neurological deficit of sudden onset occurred within the first 12 hours admitted to the Emergency Department of the Al Badie international private clinic from January 2022 to September 2023. Epidemiological, clinical and etiological characteristics as well as data on outpatient and inpatient delays were collected. Sixty patients were included in the study. The average admission delay was 198.36 ± 79.23 minutes. The mean NIHSS (National Institutes of Health Stroke Scale) score was 10.41 ± 4.97. The average time for imaging was 26.68 ± 9.63 minutes. Ischaemic stroke was the most common diagnosis (85%), followed by "stroke mimics" (11.6%). Thirteen patients underwent thrombolysis with tenecteplase. The mean time from admission to the initiation of thrombolysis was 107.15 ± 24.48 minutes. Follow-up imaging at 24 hours post thrombolysis revealed symptomatic haemorrhagic transformation in 3 patients. Six patients were transferred to the Hassan II University Hospital for thrombolysis and/or mechanical thrombectomy. After 3 months, 4 patients were autonomous (Rankin score changed between 0 and 2). Our experience shows that it is imperative to reduce outpatient and inpatient delays in treatment in order to increase the proportion of patients treated with thrombolysis.
静脉溶栓是急性缺血性卒中的标准治疗方法。我们在此报告摩洛哥私立部门溶栓警报的病例。我们对2022年1月至2023年9月入住阿尔巴迪国际私立诊所急诊科的所有在发病后12小时内突然出现神经功能缺损的患者进行了一项前瞻性研究。收集了流行病学、临床和病因学特征以及门诊和住院延迟的数据。60名患者纳入研究。平均入院延迟为198.36±79.23分钟。美国国立卫生研究院卒中量表（NIHSS）平均评分为10.41±4.97。平均影像学检查时间为26.68±9.63分钟。缺血性卒中是最常见的诊断（85%），其次是“类卒中”（11.6%）。13名患者接受了替奈普酶溶栓治疗。从入院到开始溶栓的平均时间为107.15±24.48分钟。溶栓后24小时的随访影像学检查显示3例患者出现症状性出血转化。6名患者被转至哈桑二世大学医院进行溶栓和/或机械取栓治疗。3个月后，4名患者生活自理（Rankin评分在0至2分之间变化）。我们的经验表明，必须减少门诊和住院治疗延迟，以提高接受溶栓治疗的患者比例。
