急性重症缺血性卒中的评价和处理

被引:5
作者
李淑娟
胡文立
机构
[1] 首都医科大学附属北京朝阳医院神经内科
关键词
脑梗死; 重症监护;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
摘要
中国是全世界卒中死亡率最高的国家。在我国卒中已成为死亡的第一大原因,而且致残率非常高。越来越多的证据表明重症监护病房(ICU)可以降低急性缺血性卒中患者的并发症和死亡率,但目前我国对神经危重症的重视程度不够,大多数患者分布在综合监护病房或者监护治疗配备不全的普通病房。由于神经危重症患者具有累及多器官的特殊性,有别于普通内科的重症患者,因此应加强管理,给予充分的重视以提高我国重症卒中的诊治水平。
引用
收藏
页码:945 / 949
页数:5
相关论文
共 15 条
[1]   重症脑梗死患者机械通气后死亡的预测因素分析 [J].
李淑娟 ;
汪颜 ;
胡文立 .
中国脑血管病杂志, 2006, (11) :497-500
[2]  
CRITICAL CARE MANAGEMENT OF ACUTE ISCHEMIC STROKE[J] . Allyson R. Zazulia.CONTINUUM: Lifelong Learning in Neurology . 2009 (3 Cr)
[3]  
Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): a placebo-controlled randomised trial[J] . Stephen M Davis,Geoffrey A Donnan,Mark W Parsons,Christopher Levi,Kenneth S Butcher,Andre Peeters,P Alan Barber,Christopher Bladin,Deidre A De Silva,Graham Byrnes,Jonathan B Chalk,John N Fink,Thomas E Kimber,David Schultz,Peter J Hand,Judith Frayne,Graeme Hankey,Keith Muir,Richard Gerraty,Brian M Tress,Patricia M Desmond.Lancet Neurology . 200
[4]  
Effects of Prophylactic Antibiotic Therapy With Mezlocillin Plus Sulbactam on the Incidence and Height of Fever After Severe Acute Ischemic Stroke: The Mannheim Infection in Stroke Study (MISS)[J] . Stefan Schwarz,Frank Al-Shajlawi,Christian Sick,Stephen Meairs,Michael G. Hennerici.Stroke . 2008 (4)
[5]  
Noninvasive Cardiac Monitoring for Detecting Paroxysmal Atrial Fibrillation or Flutter After Acute Ischemic Stroke: A Systematic Review[J] . Stroke . 2007 (11)
[6]  
Glucose-potassium-insulin infusions in the management of post-stroke hyperglycaemia: the UK Glucose Insulin in Stroke Trial (GIST-UK)[J] . Christopher S Gray,Anthony J Hildreth,Peter A Sandercock,Janice E O’Connell,Donna E Johnston,Niall EF Cartlidge,John M Bamford,Oliver F James,K George MM Alberti.Lancet Neurology . 2007 (5)
[7]  
Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomised controlled trials[J] . Katayoun Vahedi,Jeannette Hofmeijer,Eric Juettler,Eric Vicaut,Bernard George,Ale Algra,G Johan Amelink,Peter Schmiedeck,Stefan Schwab,Peter M Rothwell,Marie-Germaine Bousser,H Bart van der Worp,Werner Hacke.Lancet Neurology . 2007 (3)
[8]   Frequency and significance of troponin T elevation in acute ischemic stroke [J].
Jensen, Jesper K. ;
Kristensen, Soren R. ;
Bak, Soren ;
Atar, Dan ;
Hoilund-Carlsen, Poul Flemming ;
Mickley, Hans .
AMERICAN JOURNAL OF CARDIOLOGY, 2007, 99 (01) :108-112
[9]  
Guidelines for the Early Management of Adults With Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: The American Academy of Neurology affirms the value of this guideline as an educati[J] . Harold P. Adams,Gregory del Zoppo,Mark J. Al
[10]   Autopsy prevalence of coronary atherosclerosis in patients with fatal stroke [J].
Gongora-Rivera, Fernando ;
Labreuche, Julien ;
Jaramillo, Arturo ;
Steg, Philippe Gabriel ;
Hauw, Jean-Jacques ;
Amarenco, Pierre .
STROKE, 2007, 38 (04) :1203-1210