一次中风
Bruce C V Campbell1, Pooja Khatri2
1Department of Medicine and Neurology, Melbourne Brain Centre, Royal Melbourne Hospital and The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, VIC, Australia.
Lancet (London, England)
|July 13, 2020
概括
脑中风的诊断和治疗已经进步,通过再输血疗法改善了缺血性脑中风的结果. 预防策略针对所有类型的中风的根本原因和生活方式因素.
科学领域:
- 神经学
- 放射学
- 心血管医学
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因.
- 准确的诊断对于区分缺血性中风和脑内出血至关重要.
- 目前的中风治疗策略取得了重大进展.
研究的目的:
- 审查目前的中风诊断方法.
- 讨论治疗缺血性中风的进展.
- 制定预防复发性中风的策略.
主要方法:
- 临床评估和神经成像技术,包括非对比CT,CT输液和CT血管学.
- 对输血疗法如静脉血栓溶解和血管内血栓切除的审查.
- 针对中风机制和可修改的风险因素的预防措施分析.
主要成果:
- 通过CT输液和血管造影,可以更好地诊断出缺血性中风,并确定血管内血栓切除的候选人.
- 内静脉血栓溶解和内血管血栓切除显著减少缺血性中风患者的残疾.
- 正在探索用于脑内出血的研究疗法.
结论:
- 先进的成像和再注射疗法已经改变了缺血性中风的治疗方法.
- 个人预防策略与生活方式的改变是降低中风复发风险的关键.
- 持续的研究对于改善缺血性和出血性中风的结果至关重要.
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