急性缺血性脑卒中的急救处理精要

我国是全球卒中的第一大国 2 2每年因卒中死亡的人数(万) Stroke . 2006;37:63-68 3 3 In May of 1922, Lenin had his first stroke. His right side was paralyzed. He had another in December of 1922, where he resigned from all political offices. In March of 1923, Lenin had his third stroke and was left bedridden and unable to speak. During his fourth stroke on January 21, 1924, Lenin died plications. 卒中---- 可以防治的灾难 stroke: a preventable and treatable catastrophe 世界卒中日宣言世界卒中日宣言世界卒中日宣言 PROCLAMATION PROCLAMATION WORLD STROKE DAY WORLD STROKE DAY 10.29 10.29 影像学正常或者梗塞灶直径小于 1.5cm TOAST 分型美国爱荷华大学卒中中心 Adams 教授所言: “自患者第一个症状开始, 时间就是大脑” TIME=BRAIN 每一秒钟的拖延都可能造成几百万的神经细胞死亡,而且发病时间直接决定采取何种方法治疗。?8 ?缺血?半暗带(可挽救的组织) ?坏死区?1小时?3小时?6小时?畅通罪犯血管、恢复脑血流是挽救脑细胞的关键! ?最重要的手段是对于时间窗内的患者行静脉溶栓治疗。