作者：袁国宾，刘广志

单位：

100029北京市，首都医科大学附属北京安贞医院神经内科

Units：

Department of Neurology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China

关键词：

缺血性卒中；诊断；治疗；二级预防；综述

Keywords：

Ischemic stroke; Diagnosis; Treatment; Secondary prevention; Review

CLC：

R 743.3

DOI：

10.12114/j.issn.1008-5971.2024.00.093

Funds：

国家自然科学基金资助项目（81441040，82071342）

摘要：

缺血性卒中（IS）是脑部血液循环障碍、缺血、缺氧所致局限性脑组织缺血性坏死或软化，是最常 见的脑血管病类型，其发病率较高，约占我国卒中患者总数的70%。尽管近年来我国在脑卒中防治方面取得了一定 进展，但IS病死率、致残率、复发率居高不下，仍面临巨大挑战。本文主要综述了IS的诊治现状，包括流行病学、诊 断、急性期治疗及二级预防策略，旨在提高临床医生对IS的诊治能力。

Abstract：

Ischemic stroke (IS) is a localized ischemic necrosis or softening of brain tissue caused by cerebral blood circulation disorders, ischemia, and hypoxia, and is the most common type of cerebrovascular disease, its incidence is high, accounting for about 70% of the total number of stroke patients in China. Although China has made some progress in the prevention and treatment of stroke in recent years, the mortality rate, disability rate and recurrence rate of IS remain high and still face great challenges. This article mainly reviews the current status of diagnosis and treatment of IS, including epidemiology, diagnosis, acute phase treatment and secondary prevention strategy, in order to improve the ability of clinicians to diagnose and treat IS.

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