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首页> 外文期刊>Journal of neurology >Time window and 'tissue window': two approaches to assist decision-making in strokes
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Time window and 'tissue window': two approaches to assist decision-making in strokes

机译：时间窗和“组织窗”：两种方法可以帮助中风决策

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Intravenous alteplase given in an appropriate time window has been recommended in guidelines and effects are on the decline over time. In general, the clinical decision is primarily based on whether ischemic stroke patients are sent to hospitals within the time window. However, some patients sent to the hospital over time limitations are eligible to receive intervention for recanalization due to good collateral circulation. In this dilemma, tissue window can be more reliable, which means using the penumbra as a major criterion for patient recruitment. Hence, we herein aim to address how could tissue window be a complementary approach when it does not conform to the time window's indication and affirming value of the later one. Some efforts obeying the time window are discussed first. In the later sections, we give the details of the definition of tissue window, and then compare various neuroimaging techniques to determine the penumbra and summarize favorable patterns. Finally, we will focus on how the tissue window extends the therapeutic time window under specific circumstances.
机译：在适当的时间窗口中给出的静脉内普雷酶已经推荐在准则和效果中逐渐下降。一般而言，临床决策主要是基于缺血性脑卒中患者是否在时间窗口内送到医院。然而，一些患者随着时间限制送到医院的患者有资格由于良好的抵押课程而获得促进重新化的干预。在这种困境中，组织窗口可以更可靠，这意味着使用Penumbra作为患者招募的主要标准。因此，我们在此旨在解决组织窗口如何在不符合时间窗口的指示和后续申请的肯定值时如何成为互补方法。首先讨论了遵循时间窗口的一些努力。在后面的部分中，我们给出了组织窗口的定义的细节，然后比较各种神经影像学技术来确定PENUMBRA并总结有利模式。最后，我们将专注于组织窗口如何在特定情况下延伸治疗时间窗口。

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