摘要
约1/4的急性缺血性卒中为醒后卒中。因发病时间不明确,醒后卒中患者一度被认为不能进行静脉溶栓治疗。尽管现行指南推荐的静脉溶栓治疗时间窗为4.5 h,但近年来的研究表明,通过神经影像学筛选后对醒后卒中患者进行静脉溶栓治疗是安全且有效的。文章对近年来有关神经影像学指导下醒后卒中静脉溶栓治疗的研究进展进行了综述,以期为临床实践提供参考。
About a quarter of acute ischemic strokes are wake-up strokes.Due to the uncertainty of the onset time,patients with wake-up stroke were considered to be unable to receive intravenous thrombolysis.Although the current guidelines recommend that the time window for intravenous thrombolytic therapy is 4.5 h,recent studies have shown that intravenous thrombolytic therapy is safe and effective for patients with wake-up stroke after neuroimaging screening.This article reviews the recent research progress on intravenous thrombolytic therapy for wake-up stroke under the guidance of neuroimaging in order to provide a reference for clinical practice.
作者
谢克航
周武
Xie Kehang;Zhou Wu(Department of Neurology,Zhuhai Integrated Traditional Chinese and Western Medicine Hospital,Zhuhai 519020,China)
出处
《国际脑血管病杂志》
2019年第10期755-759,共5页
International Journal of Cerebrovascular Diseases
