急性腦梗塞之血栓溶解治療可有條件放寬至4.5小時

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急性腦梗塞之血栓溶解治療可有條件放寬至 4.5 小時

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發表醫師 胡朝榮 主任

發佈日期 2009/06/01

急性腦梗塞之血栓溶解治療可有條件放寬至 4.5

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週一, 01 六月 2009 23:08

美國腦中風學會公佈新的治療準則: 急性腦梗塞之血栓溶解治療可有條件放寬

至 4.5 小時

但以下這些情況還是要維持 3 小時規範 1. 80 歲以上 2. 正在服用抗凝血藥物, INR 1.7 以上 3. 症狀嚴重之腦梗塞 (NIHSS 25 分以上) 4. 曾有中風病史並合併有糖尿病 (二者兼具) 其餘急性腦梗塞之血栓溶解治療可放寬至發病後 4.5 小時內

Experts Recommend Expansion of Stroke Treatment Window for Some

Patients

The treatment window for some stroke patients may be extended to within 4.5 hours of symptom onset, according to a science advisory from the American Heart Association and American Stroke Association, published online in Stroke. The groups stressed, however, that therapy within 3 hours remains ideal "because the opportunity for improvement is greater with earlier treatment."

According to the advisory, patients eligible* for therapy with recombinant tissue plasminogen activator (rtPA) who are not treated within 3 hours can be treated up to 4.5 hours — unless they:

 are older than 80;

 are taking oral anticoagulants with an international normalized ratio of 1.7 or lower (?);

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 have an NIH stroke scale score greater than 25;  have a history of both stroke and diabetes.

For these groups, rtPA must be given within 3 hours.

 

健康文章內文主要提供民眾降低對疾病因不了解產生之不安和恐懼,但不可取代

實際的醫療行為,所以身體如有不適請您前往醫院就醫治療。

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