缺血性脑卒中早期诊断与治疗进展综述

IF 0.5 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Galen Medical Journal Pub Date : 2023-08-21 DOI:10.31661/gmj.v12i.2993
B. Sun, Zhigang Wang
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引用次数: 0

摘要

缺血性中风是世界范围内发病率和死亡率的主要原因,需要在早期诊断和治疗方式方面进行持续研究和进步。本文综述了缺血性卒中早期诊断和治疗的最新进展,强调了及时干预的重要性以及对患者预后的潜在影响。最近的进展集中在脑卒中护理的各个方面,包括成像技术、实验室检测、远程医疗和移动技术、静脉溶栓、机械取栓和协作系统。影像学技术的进步在缺血性脑卒中的早期诊断和治疗中发挥了关键作用。计算机断层扫描灌注成像、先进的MRI技术、多模态成像和自动图像处理工具极大地提高了评估缺血性损伤程度、识别活组织和表征颅内闭塞的能力。将这些进步纳入常规临床实践,可以更准确、更及时地做出治疗决定,最终改善缺血性卒中患者的预后。实验室检测在识别与缺血性中风相关的生物标志物和遗传标志物方面取得了重大进展。高灵敏度心肌肌钙蛋白检测提高了我们对中风的心脏成分的理解,并使心脏损伤的早期检测成为可能。远程医疗和移动技术使中风专家能够进行远程评估和咨询,从而彻底改变了中风护理。协作系统和远程中风网络优化了医疗保健提供者之间的沟通和协调。可互操作的电子健康记录简化了信息交换并促进了及时决策。靶向治疗和卒中预防策略为改善预后提供了新的途径。总的来说,早期诊断和治疗缺血性卒中的进展可以加强卒中护理,减少治疗延误,改善患者预后。
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A Short Review On Advances in Early Diagnosis and Treatment of Ischemic Stroke
Ischemic stroke is a leading cause of morbidity and mortality worldwide, necessitating continuous research and advancements in early diagnosis and treatment modalities. This review aims to provide an overview of recent advances in the early diagnosis and treatment of ischemic stroke, highlighting the importance of timely intervention and the potential impact on patient outcomes. Recent advancements have focused on various aspects of stroke care, including imaging techniques, laboratory testing, telemedicine and mobile technology, intravenous thrombolysis, mechanical thrombectomy, and collaborative systems. Advances in imaging techniques have played a pivotal role in the early diagnosis and treatment of ischemic stroke. Computed tomography perfusion imaging, advanced MRI techniques, multimodal imaging, and automated image processing tools have greatly improved the ability to assess the extent of ischemic injury, identify viable tissue, and characterize intracranial occlusions. Incorporating these advancements into routine clinical practice allows for more accurate and timely treatment decisions, ultimately leading to improved outcomes for patients with ischemic stroke. Laboratory testing has seen significant progress in identifying biomarkers and genetic markers associated with ischemic stroke. High-sensitivity cardiac troponin assays have improved our understanding of the cardiac component of stroke and enabled early detection of cardiac injury. Telemedicine and mobile technology have revolutionized stroke care by enabling remote assessment and consultation with stroke specialists. Collaborative systems and telestroke networks, have optimized communication and coordination among healthcare providers. Interoperable electronic health records streamline information exchange and facilitate prompt decision-making. Targeted therapies and stroke prevention strategies offer new avenues for improving outcomes. Overall, advances in early diagnosis and treatment of ischemic stroke can enhance stroke care, reduce treatment delays, and improve patient outcomes.
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Galen Medical Journal
Galen Medical Journal MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
0.00%
发文量
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期刊介绍: GMJ is open access, peer-reviewed journal in English and supported by Noncommunicable Diseases (NCD) Research Center of Fasa University of Medical Sciences that publishing by Salvia Medical Sciences Ltd. GMJ will consider all types of the following scientific papers for publication: - Editorial’s choice - Original Researches - Review articles - Case reports - Case series - Letter (to editors, to authors, etc) - Short communications - Medical Idea
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