醒后卒中临床诊治的研究新进展

doi:10.12114/j.issn.1007-9572.2022.0349

中国全科医学 ›› 2022, Vol. 25 ›› Issue (29): 3607-3615.DOI: 10.12114/j.issn.1007-9572.2022.0349

所属专题：脑健康最新研究合辑

• 临床热点关注·脑健康研究 • 上一篇下一篇

醒后卒中临床诊治的研究新进展

刘筱翼¹^,², 王保爱³^,^*()

1．030000　山西省太原市，山西医科大学
2．032200　山西省汾阳市，山西医科大学汾阳学院
3．032200　山西省汾阳市，山西医科大学附属汾阳医院　山西省汾阳医院神经内科

收稿日期:2022-03-13 修回日期:2022-05-20 出版日期:2022-10-15 发布日期:2022-07-07
通讯作者: 王保爱
刘筱翼，王保爱.醒后卒中临床诊治的研究新进展[J].中国全科医学，2022，25（29）：3607-3615. [www.chinagp.net]
作者贡献：刘筱翼、王保爱负责文章框架的构思与设计；刘筱翼负责文章资料的收集与整理、文章的撰写与修改；王保爱负责文章的修改、质量把控、最终版本的修订及审核。
基金资助:
山西省医学重点科研项目(2021XM41)

Progress in Clinical Diagnosis and Treatment of Wake-up Stroke

Xiaoyi LIU¹^,², Baoai WANG³^,^*()

1. Shanxi Medical University, Taiyuan 030000, China
2. Fenyang College of Shanxi Medical University, Fenyang 032200, China
3. Department of Neurology, the Fenyang Hospital of Shanxi Medical University/Shanxi Fenyang Hospital, Fenyang 032200, China

Received:2022-03-13 Revised:2022-05-20 Published:2022-10-15 Online:2022-07-07
Contact: Baoai WANG
About author:
LIU X Y, WANG B A. Progress in clinical diagnosis and treatment of wake-up stroke[J]. Chinese General Practice, 2022, 25 (29) : 3607-3615.

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摘要/Abstract

摘要： 醒后卒中（WUS）是指睡前无新发卒中症状，在醒后或睡眠过程中出现新发神经系统功能缺损的急性脑血管病，症状开始时间未知，多属缺血性卒中。近年来，随着对WUS发病机制的探究以及电子计算机断层扫描和磁共振成像等影像学技术的应用和发展，临床可以对缺血半暗带及脑灌注进行探索，判断是否存在可挽救的脑组织，制定合适的治疗方案，已成为临床研究热点。本文就WUS的临床诊断及治疗等方面进行综述。

关键词: 醒后卒中, 缺血性卒中, 血压, 睡眠呼吸暂停综合征, 静脉溶栓, 机械取栓

Abstract:

Wake-up stroke (WUS) refers to acute cerebrovascular disease without new onset stroke symptoms at bedtime whereas new onset neurological deficits after waking up or during sleep. With unknown onset time of symptoms, most cases are ischemic stroke. Recently, with the exploration of the pathogenesis of WUS and the application and development of imaging techniques such as electron computed tomography and magnetic resonance imaging, it is possible to explore the ischemic penumbra and cerebral perfusion, judge the presence of salvageable brain tissue, and develop a suitable treatment plan, which has become a hot spot in clinical research. This review focuses on the clinical diagnosis and treatment of stroke after waking up.

Key words: Wake-up stroke, Ischemic stroke, Blood pressure, Sleep apnea syndromes, Hrombolytic therapy, Mechanical thrombectomy

刘筱翼,王保爱. 醒后卒中临床诊治的研究新进展[J]. 中国全科医学, 2022, 25(29): 3607-3615. DOI: 10.12114/j.issn.1007-9572.2022.0349.
Xiaoyi LIU,Baoai WANG. Progress in Clinical Diagnosis and Treatment of Wake-up Stroke[J]. Chinese General Practice, 2022, 25(29): 3607-3615. DOI: 10.12114/j.issn.1007-9572.2022.0349.

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醒后卒中临床诊治的研究新进展

Progress in Clinical Diagnosis and Treatment of Wake-up Stroke

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