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An interpretation on hospital treatment based on Chinese expert consensus of integration of traditional and western medical emergency diagnosis and treatment for acute ischemic stroke |
Wang Gang, Fang Bang-jiang, Yu Xue-zhong, Wang Zhong |
The Second Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710004, China |
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Abstract Acute ischemic stroke (AIS) is a common cerebrovascular disease in the emergency department. Because of onset and progression rapidly, it seriously threatens human health. In 2018, China issued the latest Expert consensus of integration of traditional and western medical emergency diagnosis and treatment for acute ischemic stroke, which pointed out that recirculation and restoration of cerebral blood flow in the shortest time is the key of treatment about AIS. Therefore, in order to assist the doctors to comprehend the expert consensus, this paper mainly interprets the early recognition and the main treatment measures(including intravenous thrombolysis and mechanical thrombectomy) about AIS.
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Corresponding Authors:
Fang Bang-jiang, E-mail: fangbji@163.com
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[1]中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志, 2015, 48(4): 246-257.
[2]中国中西医结合学会急救医学专业委员会.中国急性缺血性脑卒中中西医急诊诊治专家共识[J]. 中华危重病急救医学, 2018, 30(3): 193-197.
[3]Wardlaw JM, Seymour J, Cairns J, et al. Immediate computed tomography scanning of acute stroke is cost-effective and improves quality of life[J]. Stroke, 2004, 35(11):2477-2483.
[4]Wardlaw J, Brazzelli M, Miranda H, et al. An assessment of the cost-effectiveness of magnetic resonance, including diffusion-weighted imaging, in patients with transient ischaemic attack and minor stroke: a systematic review, meta-analysis and economic evaluation[J]. Health Technol Assess, 2014, 18(27): 1-368.
[5]Barber PA, Hill MD, Eliasziw M, et al. Imaging of the brain in acute ischaemic stroke: comparison of computed tomography and magnetic resonance diffusion-weighted imaging[J]. J neurol neurosurg psychiatry, 2005, 76(11): 1528-1533.
[6]Chalela JA, Kidwell CS, Nentwich LM, et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison[J]. Lancet, 2007, 369(9558): 293-298.
[7]Furie KL, Jayaraman MV. 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke[J]. Stroke, 2018, 49(3): 509-510.
[8]Hacke W, Kaste M, Bluhmki E, et al. ECASS Investigators. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke[J]. N Engl J Med, 2008, 359: 1317-1329.
[9]Hacke W, Donnan G, Fieschi C, et al. Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials[J]. Lancet, 2004, 363(9411): 768-774.
[10]Wardlaw JM, Murray V, Berge E, et al. Recombinant tissue plasminogen activator for acute ischaemic stroke: an updated systematic review and meta-analysis[J]. Lancet, 2012, 379(9834): 2364-2372.
[11]Wardlaw JM, Murray V, Berge E, et al. Thrombolysis for acute ischaemic stroke[J]. Cochrane Database Syst Rev, 2014, 29(7): CD000 213.
[12]Albers GW, Marks MP, Kemp S, et al. Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging[J]. N Engl J Med, 2018, 378(8): 708-718.
[13]Nogueira RG, Jadhav AP, Haussen DC, et al. Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct[J]. N Engl J Med, 2018, 378(1): 11-21. |
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. [J]. Chinese Journal of Critical Care Medicine, 2019, 39(9): 819-824. |
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