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2010APSS建议——急性卒中急诊管理发布

2016-07-25 阿尔伯塔省卒中策略(APSS,Alberta Provincial Stroke Strategy) APSS官网

2010年1月,阿尔伯塔省卒中策略(APSS)公布了急性卒中急诊管理建议,该建议主要内容涉及神经血管影像,神经生命体征,血糖,急性期溶栓治疗,ITA和小卒中的紧急处理,急性期阿司匹林治疗,吞咽障碍筛查和评估,蛛网膜下腔出血和脑出血的处理,卒中康复初步评估等内容。全文获取:下载地址:指南下载(需要扣积分2分, 梅斯医学APP免积分下载)

2010年1月,阿尔伯塔省卒中策略(APSS)公布了急性卒中急诊管理建议,该建议主要内容涉及神经血管影像,神经生命体征,血糖,急性期溶栓治疗,ITA和小卒中的紧急处理,急性期阿司匹林治疗,吞咽障碍筛查和评估,蛛网膜下腔出血和脑出血的处理,卒中康复初步评估等内容。


全文获取:

下载地址:指南下载(需要扣积分2分, 梅斯医学APP免积分下载)

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  2. [GetPortalCommentsPageByObjectIdResponse(id=1709409, encodeId=60ac1e09409de, content=<a href='/topic/show?id=77b4525857d' target=_blank style='color:#2F92EE;'>#急诊管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52585, encryptionId=77b4525857d, topicName=急诊管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=989231676378, createdName=12498b3em18(暂无昵称), createdTime=Wed Jun 07 13:14:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135096, encodeId=67851350960c, content=文章很好值得关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 25 17:18:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94974, encodeId=f590949e423, content=讲的很详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Thu Jul 28 17:59:00 CST 2016, time=2016-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1284443, encodeId=26341284443e7, content=<a href='/topic/show?id=d2155222281' target=_blank style='color:#2F92EE;'>#急性卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52222, encryptionId=d2155222281, topicName=急性卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=afa4194, createdName=cenghis, createdTime=Wed Jul 27 01:14:00 CST 2016, time=2016-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1482813, encodeId=c49414828139f, content=<a href='/topic/show?id=f91e2694e8' target=_blank style='color:#2F92EE;'>#APS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2694, encryptionId=f91e2694e8, topicName=APS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ee0c7842002, createdName=12498bd5m18暂无昵称, createdTime=Wed Jul 27 01:14:00 CST 2016, time=2016-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94623, encodeId=28619462316, content=好好学习,巩固知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Mon Jul 25 16:38:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94571, encodeId=33a5945e1f9, content=了解一下!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Jul 25 12:04:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94560, encodeId=d6d4945601e, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zGdN1x8J6HqtUI2Gpibk3sfIIBhZchAhjoiaCQlficdtQTnEqYncy3GVEMPIOJwD7t0mO2KfYGMgkIg/0, createdBy=86081727811, createdName=4546wk, createdTime=Mon Jul 25 10:24:00 CST 2016, time=2016-07-25, status=1, ipAttribution=)]
    2016-09-25 1e10c84am36(暂无匿称)

    文章很好值得关注

    0

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    2016-07-28 oo902

    讲的很详细

    0

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  5. [GetPortalCommentsPageByObjectIdResponse(id=1709409, encodeId=60ac1e09409de, content=<a href='/topic/show?id=77b4525857d' target=_blank style='color:#2F92EE;'>#急诊管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52585, encryptionId=77b4525857d, topicName=急诊管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=989231676378, createdName=12498b3em18(暂无昵称), createdTime=Wed Jun 07 13:14:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135096, encodeId=67851350960c, content=文章很好值得关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 25 17:18:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94974, encodeId=f590949e423, content=讲的很详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Thu Jul 28 17:59:00 CST 2016, time=2016-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1284443, encodeId=26341284443e7, content=<a href='/topic/show?id=d2155222281' target=_blank style='color:#2F92EE;'>#急性卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52222, encryptionId=d2155222281, topicName=急性卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=afa4194, createdName=cenghis, createdTime=Wed Jul 27 01:14:00 CST 2016, time=2016-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1482813, encodeId=c49414828139f, content=<a href='/topic/show?id=f91e2694e8' target=_blank style='color:#2F92EE;'>#APS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2694, encryptionId=f91e2694e8, topicName=APS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ee0c7842002, createdName=12498bd5m18暂无昵称, createdTime=Wed Jul 27 01:14:00 CST 2016, time=2016-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94623, encodeId=28619462316, content=好好学习,巩固知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Mon Jul 25 16:38:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94571, encodeId=33a5945e1f9, content=了解一下!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Jul 25 12:04:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94560, encodeId=d6d4945601e, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zGdN1x8J6HqtUI2Gpibk3sfIIBhZchAhjoiaCQlficdtQTnEqYncy3GVEMPIOJwD7t0mO2KfYGMgkIg/0, createdBy=86081727811, createdName=4546wk, createdTime=Mon Jul 25 10:24:00 CST 2016, time=2016-07-25, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1709409, encodeId=60ac1e09409de, content=<a href='/topic/show?id=77b4525857d' target=_blank style='color:#2F92EE;'>#急诊管理#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52585, encryptionId=77b4525857d, topicName=急诊管理)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=989231676378, createdName=12498b3em18(暂无昵称), createdTime=Wed Jun 07 13:14:00 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=135096, encodeId=67851350960c, content=文章很好值得关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sun Sep 25 17:18:00 CST 2016, time=2016-09-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94974, encodeId=f590949e423, content=讲的很详细, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Thu Jul 28 17:59:00 CST 2016, time=2016-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1284443, encodeId=26341284443e7, content=<a href='/topic/show?id=d2155222281' target=_blank style='color:#2F92EE;'>#急性卒中#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52222, encryptionId=d2155222281, topicName=急性卒中)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=afa4194, createdName=cenghis, createdTime=Wed Jul 27 01:14:00 CST 2016, time=2016-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1482813, encodeId=c49414828139f, content=<a href='/topic/show?id=f91e2694e8' target=_blank style='color:#2F92EE;'>#APS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2694, encryptionId=f91e2694e8, topicName=APS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ee0c7842002, createdName=12498bd5m18暂无昵称, createdTime=Wed Jul 27 01:14:00 CST 2016, time=2016-07-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94623, encodeId=28619462316, content=好好学习,巩固知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Mon Jul 25 16:38:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94571, encodeId=33a5945e1f9, content=了解一下!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93f31631454, createdName=1dd8c52fm63(暂无匿称), createdTime=Mon Jul 25 12:04:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94560, encodeId=d6d4945601e, content=文章不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zGdN1x8J6HqtUI2Gpibk3sfIIBhZchAhjoiaCQlficdtQTnEqYncy3GVEMPIOJwD7t0mO2KfYGMgkIg/0, createdBy=86081727811, createdName=4546wk, createdTime=Mon Jul 25 10:24:00 CST 2016, time=2016-07-25, status=1, ipAttribution=)]
    2016-07-25 flysky120

    好好学习,巩固知识

    0

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    2016-07-25 1dd8c52fm63(暂无匿称)

    了解一下!

    0

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    2016-07-25 4546wk

    文章不错

    0

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背景:在过去的十年,紧急大血管闭塞的血管内介入治疗(ELVO)发展迅速。是否静脉溶栓(IVT)预处理对ELVO患者功能预后有显著的影响仍不清楚。方法:研究对所有评估血管内治疗(ET)对急性缺血性卒中的疗效的随机对照试验,进行了系统的综述和荟萃分析。研究者按照IVT预治疗进行分层,进行的混合效应亚组分析报告,对ET(与标准治疗)与3功能结果的相关性的OR值。结果:纳入六项随机对照试验,包括1916

Stroke:收缩压与血管性痴呆的风险呈正相关

背景:血管性痴呆是第二大常见痴呆形式,但血压(BP)和血管性痴呆发生的风险特定年龄的相关性的可靠证据是有限的,一些研究报告在年龄较大的负面联想。方法:从电子初级保健健康档案(英国临床实践研究数据库)中识别无已知的心血管疾病和老年痴呆症428万人。研究者将BP和诊断血管性痴呆的时间联系起来。研究者在短暂性脑缺血发作和卒中(牛津血管研究)中进行潜在性的记录,探讨血压和老年痴呆症之间的关联。结果:随访时

JAHA:年轻人要警惕卒中和TIA

背景:研究报告称,年轻成人缺血性脑卒中的发病率高于50岁至55岁的成年人。对其他亚型的卒中和短暂性脑缺血发作(TIA)的时间趋势信息是不足的。本研究的目的是探讨年龄15岁至30岁TIA和卒中住院率的变化趋势,包括性别和亚型特异性趋势。方法和结果:从丹麦国家病人登记记录中,研究者确定在丹麦所有1994-2012年住院的首次卒中和TIA患者(年龄15-30岁)。采用泊松回归估计估计年度百分比变化率(E

Stroke:临床量表不能准确识别大动脉闭塞性卒中

背景:临床评分是否可以帮助识别急性大动脉闭塞的缺血性卒中患者,改善治疗的分类是有争议的。研究者旨在确定公布的临床评分预测大动脉闭塞的准确性。方法:研究者评估了13个临床评分预测急性缺血性脑卒中患者大动脉闭塞的性能,这些患者发病6小时内进行临床检查和磁共振或CT血管造影。当无界值点时,研究者使用界值最大化的增加研究队列敏感性和特异性的总和。研究者还决定,对每一个评分,一个假阴性率≤10%与界值点相关

Neurology:新治疗的癫痫患者死亡率和住院发病率升高

目的:评估新治疗癫痫的住院发病率和死亡率。方法:研究者从涵盖所有香港的公立医院的数据库中,提取了2005年9月16日到2010年9月15日之间,新治疗癫痫患者的相关数据。随访患者至2011年9月15日。对基线并发症,抗癫痫药物(AEDs)的使用,以及酶诱导的抗癫痫药物(EIAEDS)进行分层,评估住院死亡率和发病率。比较香港人群中年龄和性别特异性的死亡率。结果:7461个新治疗的癫痫患者(55%名

2009APSS建议——卒中二级预防发布

2009年2月,阿尔伯塔省卒中策略(APSS,Alberta Provincial Stroke Strategy))公布了卒中二级预防建议,主要为卒中二级预防服务提供指南,为临床管理提供最佳实践指导。获取全文:下载地址:指南下载(需要扣积分2分, 梅斯医学APP免积分下载)

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