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急诊科急性缺血性卒中的管理：优化大脑功能

Management of acute ischemic stroke in the emergency department: optimizing the brain.

作者信息

Ganti Latha

机构信息

Orlando College of Osteopathic Medicine, Winter, FL, 34787, USA.

Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA.

出版信息

Int J Emerg Med. 2025 Jan 7;18(1):7. doi: 10.1186/s12245-024-00780-5.

DOI:10.1186/s12245-024-00780-5
PMID:39773368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708089/
Abstract

Acute ischemic stroke is a devastating condition that afflicts more than 12 million people every year. Globally, stroke is the 2nd leading cause of death and 3rd leading cause of disability worldwide. While not all patients can avail themselves of existing acute therapies, all patients can benefit from brain optimization measures. This paper details the 12 steps in the management of acute ischemic stroke in the emergency department.

摘要

急性缺血性中风是一种严重的疾病，每年折磨着超过1200万人。在全球范围内，中风是第二大致死原因和第三大致残原因。虽然并非所有患者都能采用现有的急性治疗方法，但所有患者都能从脑功能优化措施中受益。本文详细介绍了急诊科急性缺血性中风管理的12个步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/1ef2862e863a/12245_2024_780_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/456e46a0b384/12245_2024_780_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/750ab03487bb/12245_2024_780_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/9aced9e66d96/12245_2024_780_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/234c10adc8a2/12245_2024_780_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/7f0274e872a6/12245_2024_780_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/60f97957b43b/12245_2024_780_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/1ef2862e863a/12245_2024_780_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/456e46a0b384/12245_2024_780_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/750ab03487bb/12245_2024_780_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/9aced9e66d96/12245_2024_780_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/234c10adc8a2/12245_2024_780_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/7f0274e872a6/12245_2024_780_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/60f97957b43b/12245_2024_780_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcfb/11708089/1ef2862e863a/12245_2024_780_Fig7_HTML.jpg

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本文引用的文献

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Global Burden, Risk Factor Analysis, and Prediction Study of Ischemic Stroke, 1990-2030.全球缺血性脑卒中负担、风险因素分析及预测研究，1990-2030 年。
Neurology. 2023 Jul 11;101(2):e137-e150. doi: 10.1212/WNL.0000000000207387. Epub 2023 May 17.
2
Impact of emergency department arrival time on door-to-needle time in patients with acute stroke.急诊科到达时间对急性卒中患者门到针时间的影响。
Front Neurol. 2023 Mar 30;14:1126472. doi: 10.3389/fneur.2023.1126472. eCollection 2023.
3
Risk factors for thrombolysis-related intracranial hemorrhage: a systematic review and meta-analysis.
溶栓相关颅内出血的危险因素：一项系统评价与荟萃分析。
Thromb J. 2023 Mar 14;21(1):27. doi: 10.1186/s12959-023-00467-6.
4
Nursing Management of Temperature in a Patient with Stroke.脑卒中患者的体温护理管理。
Crit Care Nurs Clin North Am. 2023 Mar;35(1):39-52. doi: 10.1016/j.cnc.2022.10.005. Epub 2023 Jan 2.
5
Prevalence of dysphagia and risk of pneumonia and mortality in acute stroke patients: a meta-analysis.急性脑卒中患者吞咽困难的发生率、肺炎风险和死亡率的 Meta 分析。
BMC Geriatr. 2022 May 13;22(1):420. doi: 10.1186/s12877-022-02960-5.
6
Tissue plasminogen activator and patients with acute ischemic stroke: The litigation landscape.组织型纤溶酶原激活剂与急性缺血性中风患者：诉讼情况
J Am Coll Emerg Physicians Open. 2022 Jan 22;3(1):e12646. doi: 10.1002/emp2.12646. eCollection 2022 Feb.
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What Do Spanish Speakers Think of the Andar, Hablar, Ojos, Rostro, Ambos Brazos o Piernas (AHORA) Stroke Tool?说西班牙语的人如何看待“行走、交谈、眼睛、面部、双侧手臂或双腿（AHORA）”中风工具？
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