Assistant Professor, Critical Care and Emergency Medicine, Mayo Clinic Health System, Luther Hospital, Eau Claire, WI.
Department of Internal Medicine, WellSpan Health York Hospital, York, PA; Faculty, Global Remote Research Scholars Program, St. Paul, MN.
Emerg Med Pract. 2024 Sep 15;26(Suppl 9):1-39.
Drugs of addiction have been associated with an increased risk of both hemorrhagic and ischemic stroke. While the mechanisms that increase stroke risk are well recognized for the most commonly used substances, there is limited evidence to guide the management and treatment of stroke in the setting of concurrent substance use disorder. This review presents a comprehensive approach to evaluation and management of stroke in patients with substance use disorders. Identification of concurrent drug intoxication and guidelines for drug screening in stroke patients are discussed, along with standardized treatment strategies to improve care and outcomes in these patients.
成瘾药物与出血性和缺血性中风的风险增加有关。虽然最常用物质增加中风风险的机制已得到充分认识，但在同时存在物质使用障碍的情况下，指导中风管理和治疗的证据有限。本综述提出了一种全面的方法来评估和管理有物质使用障碍的中风患者。讨论了并发药物中毒的识别和中风患者药物筛查指南，以及标准化的治疗策略，以改善这些患者的护理和结局。
