一个任重道远的话题:基层医院对急性缺血性卒中诊治指南的实践

摘要

急性缺血性卒中(acute ischemic stroke,AIS)诊治是一个系统工程.AIS诊疗指南可规范和指导临床实践,但指南在临床实践中应用时,各基层医院可能面临不同的问题.本文对临床中的常见问题包括AIS的急诊评估和转运、影像评估、溶栓和抗栓治疗及血管内治疗等进行了总结和评价.%Diagnosis and treatment of acute ischemic stroke (AIS) is a systematic project, and AIS related guidelines can provide guidance for clinical practice. The primary hospitals may face different problems during applying the guidelines to practice. This paper summarized and evaluated the common problems including AIS emergency assessment and transfer, imaging evaluation, intravenous thrombolysis and antithrombotic therapy, and endovascular treatment in primary hospitals.