中风综合管理:住院医生指南。

Postgraduate medicine Pub Date : 2024-09-01 Epub Date: 2024-08-20 DOI:10.1080/00325481.2024.2388019
Ese Kevu, Erin Carnish
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引用次数: 0

摘要

脑卒中是一种破坏性临床疾病,其特征是继发于脑血管疾病的急性神经功能损伤。在全球范围内,脑卒中是导致死亡和残疾的第二大原因,其主要风险因素包括年龄、高血压、高脂血症、心房颤动、糖尿病、吸烟、原有血管异常和肥胖。急性神经功能缺损常见于住院病房。加强临床怀疑并及时进行包括神经系统检查和影像学检查在内的评估对于有效治疗至关重要。在许多医院,住院医师的任务是在神经科医师的会诊下管理卒中患者。随着新的先进疗法的出现,脑卒中的治疗也在不断发展。本文献综述旨在总结当前的卒中管理实践,希望对经常护理这类患者的住院医师有所帮助。我们对文献进行了检索,以总结当前的研究以及管理和治疗策略。
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Comprehensive Stroke Management: a Guide for Hospitalists.

Stroke is a devastating clinical condition characterized by an acute neurological impairment secondary to cerebrovascular disease. Globally, stroke is the second leading cause of mortality and disability, with prominent risk factors including age, hypertension, hyperlipidemia, atrial fibrillation, diabetes, smoking, preexisting vascular anomalies and obesity. Acute neurological deficits are commonly encountered in the inpatient wards. Heightened clinical suspicion and prompt evaluation involving neurological examination and imaging are crucial for effective management. At many hospitals, hospitalists are tasked with managing stroke patients with consultation from neurologists. The management of stroke is constantly evolving as new and advanced therapies emerge. This review of the literature seeks to summarize current practice in stroke management in hopes it is helpful to those hospitalists who care for this patient population frequently. A search of the literature was performed to summarize current research as well as management and therapeutic strategies.

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