急诊卒中模拟病的鉴别及静脉溶栓的安全性研究进展

Advance in Safety of Intravenous Thrombolysis in Emergency Stroke Mimics and Its Identification

卒中模拟病(stroke mimics,SM)为入院时有突发语言、肢体活动障碍、意识改变等类似卒中发作症状,出院诊断明确为急性缺血性卒中以外的其他疾病的一组临床综合征,准确快速的诊断卒中患者,并且及时的治疗能够明显改善患者预后,所以识别SM和缺血性卒中的不典型表现尤为重要。本文主要介绍了从临床症状特点及辅助检查工具(量表和影像学检查)来鉴别急诊的SM,同时对其静脉溶栓的安全性进行了阐述。

Stroke mimics(SM)are a group of nonvascular neurological clinical syndrome which closely resemble stroke symptoms(sudden language,movement and consciousness disturbance,etc.)at admission,while the final diagnosis are not stroke.To recognize the non-typical symptoms between SM and ischemic stroke is very critical for diagnosing stroke correctly and rapidly,which can significantly improve the prognosis.This article reviewed the identification of emergency SM in terms of clinical characteristics and auxiliary examination(scales and imaging examination),and the safety of intravenous thrombolysis in acute SM.