脳虚血急性期患者の治療方針決定に必要な検査内容と手技 : 内科の立場から  [in Japanese] Diagnostic Strategy for Management of Acute Stroke Patients  [in Japanese]

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Abstract

ブレインアタック時代の脳梗塞は,治療によって治すことが目標である.治療効果が期待できるtime windowはこく短時間に限られており。penumbraの領域は治療効果の期待できない不可逆的領域に置換されていく.速やかに診断し発生機序,臨床病型,閉塞血管と責任病巣の広がりをとらえること,さらに,治療開始後も症状が進行する症例では,その病態を的確にとらえることが重要である.短時間に正確な病歴聴取,vital signと神経学的重症度のcheck,心電図,採血を行い,血栓溶解療法の適応決定のため,虚血病変の検出,penumbraの広がり,さらにviabilityの推測等を目的としてCT,MRl,SPECT,PET,脳血管撮影などの検査計画を効率的に実施していく.そのためには脳卒中専門医としての知識と各職種間の密接なチームワークが必要不可欠である。

Stroke has never been as challenging or as exciting. The growing recognition and expanding knowledge of strokes will enable us to do something about it. Now is the time for recognizing stroke as medical emergency "brain attack". Awareness is a necessary prelude to action, already much can be done to prevent and treat strokes. Imaging, including CT, MRI, MR spectroscopy, SPECT and PET, allow us to peer into the brain, the blood vessels and the body with unprecedented acuity To diagnose and treat strokes using these state-of-the-art techniques within a narrow therapeutic time window, organized and multidisciplinary stroke care is mandatory.

Journal

Japanese journal of neurosurgery   [List of Volumes]

Japanese journal of neurosurgery 11(9), 574-583, 2002-09-20  [Table of Contents]

The Japanese Congress of Neurological Surgeons

References:  29

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Codes

  • NII Article ID (NAID) :
    110003812435
  • NII NACSIS-CAT ID (NCID) :
    AN10380506
  • Text Lang :
    JPN
  • Article Type :
    REV
  • ISSN :
    0917950X
  • Databases :
    CJP  NII-ELS