Simulation study of intravenous rt-PA thrombolytic treatment for 371 acute ischemic stroke patients admitted to Aizawa Hospital during 2004

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  • ２００４年当院入院脳梗塞３７１名でのｒｔ‐ＰＡ静注療法シミュレーション

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Abstract

Thrombolytic treatment of intravenous rt-PA is known to be effective for treatment of acute ischemic stroke with the onset of less than 3 hours. On the other hand, because the time window of the treatment is limited to be within 3 hours for fear of serious intracranial hemorrhagic complication, few patients will be indicated for the thrombolytic treatment.<BR>In this paper, simulation and indication of the treatment were retrospectively studied from our stroke center database.<BR>A total of the 371 acute ischemic stroke patients admitted to our stroke center during 2004 were classified into lacunar stroke (39%), cerebral embolism (26%), cerebral thrombosis (21%) and transient ischemic attack (7%). Of all the patients, 61 (16%) arrived at our hospital within 2 hours of the onset, of whom only 14 (4%) were considered to be indicated for the thrombolytic treatment. To increase the rate for the treatment, a further enlightenment action to citizens and practicing physicians will be necessary.

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