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J Neurocrit Care 2008;1(Suppl 1): 47-49.
허혈성 뇌졸중의 치료지침: 과거와 미래
방 오 영
성균관대학교 의과대학 삼성서울병원 신경과학교실
Stroke Guidelines: From Past to Future
Oh Young Bang, MD, PhD
Department of Neurology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea
ABSTRACT
This article discusses the past, present and future in the treatment of ischemic stroke. Currently, many studies in ischemic stroke are ongoing and stroke guidelines in Korea are necessary in these fields as followings: a) Use of prehospital screening instrument and enhancing role of paramedicine in field treatment in Korea. b) Optimized thrombolysis and recanalization therapy using multimodal neuroimaging (CT and MRI) in Korea, where intracranial atherosclerotic stroke is prevalent. c) Guideline for prevention of deep vein t! hrombosis in Korea, where the prevalence of deep vein thrombosis in relatively rare. d) Cerebral perfusion enhancing strategies in Korea, where large and small arterial disease are prevalent. e) Guideline for hyperglycemia control at hyperacute stage of stroke. f) Fever control and application of hyperthermia as a neuroprotective agent. g) Hyperventilation and respiratory care in acute stroke. h) Best treatment of intracranial and subarachnoid hemorrhage in Korea, where hemorrhagic stroke is still prevalent.
Key Words: Ischemic stroke·Acute period·Treatment·Guidelines
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