急性缺血性脑卒中急诊转诊模式研究进展  

Research progress on emergency referral mode for acute ischemic stroke

作　　者：杨颂 唐广立 殷文朋[2] Yang Song;Tang Guangli;Yin Wenpeng(Emergency Department of Beijing Huairou Hospital,Beijing 101400,China)

机构地区：[1]北京怀柔医院急诊科,北京101400 [2]朝阳首都医科大学附属北京朝阳医院急诊科,北京100020

出　　处：《中国急救医学》2025年第4期354-358,共5页Chinese Journal of Critical Care Medicine

基　　金：北京市怀柔区科技计划项目(SFZX2023-1)。

摘　　要：脑卒中是导致人类致死、致残的重大疾病之一,是我国成人第一位死亡原因。早期再灌注治疗是降低急性缺血性脑卒中(AIS)的重要手段。脑卒中的早期治疗都具有高度时间依赖性。在实际工作中,大量患者因各种因素不能得到及时诊治而导致疗效不佳,特别是对伴有大血管闭塞(LVO)的患者,需转运至能进行血管内治疗(EVT)的卒中中心进行救治。目前存在多种转诊模式,不同转诊模式可能影响患者预后。现对AIS各种急诊转诊模式的研究进展进行综述。Stroke is one of the major diseases that cause death and disability in humans,and is the leading cause of death among adults in China.Early reperfusion therapy is an important means to reduce acute ischemic stroke(AIS).The early treatment of stroke is highly time-dependent.In practical work,a large number of patients can not receive timely diagnosis and treatment due to various factors,resulting in poor therapeutic effects,especially for the patients with large vessel occlusion(LVO),they need to be transferred to stroke centers that can provide endovascular treatment(EVT).There are currently multiple referral modes,and different referral modes may affect the prognosis of patients.This article reviews the research progress on emergency referral modes for AIS.

关 键 词：急性缺血性卒中 逐级转运模式 直接转运模式 移动诊疗模式 智能分诊模式 移动卒中单元 取栓后快速转回模式 基于互联网+转诊模式 

分 类 号：R74[医药卫生—神经病学与精神病学]