脑卒中的早期识别和处理.ppt

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尽早动脉瘤栓塞术第95页,共97页,2024年2月25日,星期天脑血管病的社会系统工程增强公众意识迅速转运至医院急诊室快速评估评价、诊断、治疗门诊治疗二期预防门诊康复家庭参与卒中单元继续照顾家庭社区第96页,共97页,2024年2月25日,星期天感谢大家观看第97页,共97页,2024年2月25日,星期天********EmergencyMedicalServicesResponseInthecareofacutestrokepatients,thespeedandappropriatenessofactionstakenbytheemergencymedicalservices(EMS)canmakethedifferencenotonlybetweenlifeanddeath,butalsobetweendisabilityandfunctionalrecovery.Thereisconsensusthattheaimshouldbetoachievehospitaladmissionwithin60minutesofsymptomonsetalthough,inpractice,thismayonlybepossibleindenselypopulatedurbanareaswithsuitablehospitals.1Agoalof180minuteshasbeensuggestedforsuburbanandruralareas.1 Inthemanagementofstrokepatients,itisestablishedthatusingtheemergencyservicesastheprimarycontact(ratherthanringingthefamilydoctor,forexample)cansignificantlyreducetimetoadmission.2SystemsofthissortarealreadyusedwidelyintheUSandarealsousedregionallyinpartsofsomeEuropeancountries,suchasGermanyandFinland.Thepreliminaryexaminationandprovisionaldiagnosisismadeattheprehospitalstageandthetransportingteamrelaysnewsofthependingarrivalofanacutestrokepatienttothenearestappropriatehospitaldepartment.1 Earlynotificationthatastrokepatientisenroutemaysavevaluabletimeafterarrivalathospital:itenablesthemobilisationofappropriatepersonnelandequipmentreadytoattendthepatientimmediately.3Inmyocardialinfarction,prehospitalidentificationofpatientscombinedwithearlynotificationofarrivalhasbeenfoundtoreducethetimetothrombolytictreatmentbyupto75minutes.4Instroke,ithasbeenestimatedthatasimilarapproachcouldprovideupto60minutesofvaluabletimetoprepareforthepatient’sarrival.4References1.EuropeanAdHocConsensusGroup.Europeanstrategiesforearlyinterventioninstroke:areportofanAdH

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