【脑卒中检测的诊断工具——从院前到诊断】。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Christian Claudi, André Worm, Patrick Schramm, Hagen B Huttner
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引用次数: 0

摘要

背景:中风是常见的神经急症,需要快速诊断以减少长期损害。院前检测和分诊在患者预后中起着关键作用。目的:不同院前诊断工具对脑卒中检测的效果如何,以及哪种分诊策略能优化患者护理?方法:比较院前脑卒中检测的诊断工具,并对不同的转运策略进行评价。案例研究说明了它们的实际应用。结果:传统的脑卒中诊断方法存在局限性,特别是在识别后循环卒中方面。较新的诊断工具包含其他症状,如头晕和视力问题,显示出更高的灵敏度。分诊策略的选择取决于症状的严重程度和区域因素。直接运送到专门的中心对严重中风是有益的,而在农村地区,在附近的单位初始稳定是更有效的。结论:现代诊断工具对院前脑卒中检测具有较高的灵敏度。区域合作和选择适当的分诊策略是改善脑卒中护理的关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnostic tools for stroke detection-from prehospital to diagnosis].

Background: Strokes are common neurological emergencies that require rapid diagnosis to minimize long-term damage. Prehospital detection and triage play a critical role in patient outcomes.

Objective: How effective are different prehospital diagnostic tools for stroke detection, and which triage strategies optimize patient care?

Methods: The article compares prehospital diagnostic tools for stroke detection and evaluates different transport strategies. Case studies illustrate their practical application.

Results: Traditional stroke diagnosis methods have limitations, particularly in identifying strokes in the posterior circulation. Newer diagnostic tools that incorporate additional symptoms, such as dizziness and vision problems, show higher sensitivity. The choice of triage strategy depends on the severity of symptoms and regional factors. Direct transport to specialized centers is beneficial for severe strokes, while initial stabilization at nearby units is more efficient in rural areas.

Conclusion: Modern diagnostic tools offer better sensitivity for prehospital stroke detection. Regional cooperation and the selection of appropriate triage strategies are key to improving stroke care.

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来源期刊
CiteScore
2.60
自引率
9.10%
发文量
93
审稿时长
6-12 weeks
期刊介绍: Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.
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