Anesthetic management of patients with acute stroke.
Anesthetic management of patients with acute stroke.
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DOI：
10.1016/j.anclin.2012.04.002
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发表时间：
2012-06-01
影响因子：
--
通讯作者：
Gelb, Adrian W
中科院分区：
文献类型：
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作者：
Flexman, Alana M;Donovan, Anne L;Gelb, Adrian W
中风是死亡和残疾的主要原因。麻醉师可能会遇到中风患者，必须了解这些患者的麻醉注意事项。静脉溶栓和动脉溶栓是急性缺血性卒中的有效治疗方法，也是不断发展的血管内技术，如机械取栓。最近的回顾性研究发现全身麻醉和不良临床结局之间存在关联。这些研究的结果有一些局限性，目前的证据不足以指导急性卒中患者的麻醉选择。麻醉的选择必须基于个体患者因素，直到进一步的研究完成。
Stroke is a major cause of death and disability. Anesthesiologists are likely to encounter patients with stroke and must be aware of the anesthetic considerations for these patients. Intravenous thrombolysis and intra-arterial thrombolysis are effective treatments for acuteischemic stroke as well as evolving endovascular techniques such as mechanical clot retrieval. Recent retrospective studies have found an association between general anesthesia and poor clinical outcome. The results of these studies have several limitations, and current evidence is inadequate to guide the choice of anesthesia in patients with acute stroke. The choice of anesthesia must be based on individual patient factors until further research is completed.