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  • 朱良付*.突破脑卒中救治瓶颈,全方位提升脑卒中急救效率[J].第二军医大学学报,2018,39(9):949-953    [点击复制]
  • ZHU Liang-fu*.Overcoming bottlenecks in stroke treatment to comprehensively improve the efficiency of emergent treatment[J].Acad J Sec Mil Med Univ,2018,39(9):949-953   [点击复制]
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突破脑卒中救治瓶颈,全方位提升脑卒中急救效率
朱良付*
0
(河南省人民医院、河南省脑血管病医院脑血管二病区, 郑州 450003
*通信作者)
摘要:
突破脑卒中救治瓶颈、全方位提升脑卒中急救效率需做好群众知晓、及时进院和专病专治3个方面的工作。公众脑卒中防治知识欠缺是制约我国脑卒中救治效率提升的瓶颈,健康宣教克服该瓶颈是我国脑卒中获得及时救治的基础。罹患脑卒中后能否及时到达有救治能力的医院是提升脑卒中救治效率的另一重要瓶颈,优化转诊体制、建设区域性脑卒中急救网络和使用现代化转诊工具、信息网络等均有助于实现及时进院。专病专治是指患者入院后能迅捷地获得专业的脑卒中救治,这需突破院内延误的瓶颈,建设和优化脑卒中绿色通道是有效的解决措施。
关键词:  脑卒中  血管再通  急诊处理  效率
DOI:10.16781/j.0258-879x.2018.09.0949
投稿时间:2018-08-30修订日期:2018-09-13
基金项目:
Overcoming bottlenecks in stroke treatment to comprehensively improve the efficiency of emergent treatment
ZHU Liang-fu*
(Department of Cerebrovascular Diseases(Ⅱ), Henan Provincial People's Hospital, Henan Provincial Hospital of Cerebrovascular Diseases, Zhengzhou 450003, Henan, China
*Corresponding author)
Abstract:
To overcome the bottlenecks of treatment for stroke and comprehensively improve the treatment efficiency, we need to do three jobs:public health education, entering hospital in time, and specialized stroke treatment. Lack of public knowledge about stroke is the most important bottleneck restricting the treatment of stroke in China. Public health education is the foundation of treatment for stroke. Another bottleneck is whether the patients can enter a capable hospital in time. Optimizing the referral system, establishing a regional stroke network, and applying modern referral tools and information network can help the patients entering the target hospital in time. Specialized treatment of stroke refers to the quick access to professional treatment for stroke, which requires to avoid delay in hospital; and the effective strategy is to build and optimize the green channel for stroke treatment.
Key words:  stroke  vascular recanalization  emergent treatment  efficiency