动脉溶栓治疗大脑中动脉急性脑梗死（英文）课件.pptVIP

background 日本脑卒中发病率（1988-2000） 日本脑卒中死亡率（1988-2000） 高水平证据治疗措施的缺乏 阿司匹林 Antiplatelet therapy with aspirin 160 to 300 mg daily, given orally (or per rectum in patients who cannot swallow), and started within 48 hours of onset of presumed ischaemic stroke reduces the risk of early recurrent ischaemic stroke without a major risk of early haemorrhagic complications and improves long-term outcome. 13 more patients were alive and independent at the end of follow-up for every 1000 patients treated 10 more patients made a complete recovery for every 1000 patients treated Sandercock P, Gubitz G, Foley P, Counsell C. Antiplatelet therapy for acute ischaemic stroke. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD000029. DOI: 10.1002CD000029 溶栓治疗 静脉溶栓 intravenous recombinant tissue plasminogen activator, from which there are the most evidence on thrombolytic therapy so far, suggest that it may be associated with less hazard and more benefit. Wardlaw JM, del Zoppo G, Yamaguchi T, Berge E. Thrombolysis for acute ischaemic stroke. Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No.: CD000213. DOI: 10.1002CD000213 动脉溶栓 Intra-arterial thrombolysis is an option for treatment of selected patients who have major stroke of 6 hours’ duration due to occlusions of the MCA and who are not otherwise candidates for intravenous rtPA (Class I,Level of Evidence B). Guidelines for the Early Management of Adults With Ischemic Stroke: AGuideline From the American Heart Association/ American Stroke Association. 2007;38;1655-1711. 卒中单元 Stroke patients who receive organised inpatient care in a stroke unit are more likely to be alive, independent, and living at home one year after the stroke.（scarce of resources） Stroke Unit Trialists Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD000197. DOI: 10.1002