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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The First 10 Thrombolysis for Acute Ischemic Stroke in Lao People's Democratic Republic under Teleconsultation from Thailand
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The First 10 Thrombolysis for Acute Ischemic Stroke in Lao People's Democratic Republic under Teleconsultation from Thailand

机译：在泰国的电信支持下老挝人民民主共和国急性缺血中风的前10个溶栓

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Background: Acute ischemic stroke patients in Lao People's Democratic Republic (Lao PDR) are unable to access the intravenous thrombolytic therapy using recombinant tissue plasminogen activator (rtPA) due to various reasons. Aims: This study aimed to evaluate the feasibility and safety of thrombolytic therapy administration at Mittaphab Hospital, Lao PDR under the international telestroke consultation system from King Chulalongkorn Memorial Hospital, Thailand. Methods: Acute ischemic stroke patients who presented at Mittaphab Hospital within 4.5 hours after the onset and received thrombolytic therapy between December 2016 and June 2017 were studied. An immediate real time teleconsultation with 24 hours availability between neurologists at Mittaphab hospital and the Chulalongkorn stroke team was performed in all cases for patient evaluation and decision for thrombolytic treatment. Results: There were 205 patients with acute stroke, 28 patients (14%) arrived at the hospital within 4.5 hours after the onset. Ten patients (5%) were eligible for intravenous rtPA. The mean duration from onset to hospital arrival was 122.50 minutes and the mean door to needle time was 108 minutes. The mean National Institute of Health stroke scale (NIHSS) before thrombolysis was 10. At 90 days, the mean NIHSS was 3 and the mean mRS was 2. Seventy percent of patients had good outcome (mRS <= 2). Only one patient developed massive cerebral infarction. None of the patient developed symptomatic intracerebral hemorrhage or major bleedings. Conclusions: Telestroke consultation from Thailand can facilitate the thrombolytic therapy for acute ischemic stroke patients in Lao PDR.
机译：背景：由于各种原因，老挝人民民主共和国（老挝人民民主共和国（老挝人民民主共和国）急性缺血性卒中患者使用重组组织纤溶酶原激活剂（RTPA）无法进入静脉溶栓治疗。目的：本研究旨在评估来自泰国国王国际Telestroke咨询制度的Laopab Hospital，Lao Pdr在泰国国王国际Telestroke咨询制度下的溶栓治疗管理的可行性和安全性。方法：研究了在2016年12月和2017年12月期间发病的4.5小时内在MittaPraphab医院提供的急性缺血性脑卒中患者。在患者评估和溶栓治疗的所有病例中，在所有病例中进行了立即实时电信，在MittaPapab医院和Chulalongkorn Stroke队之间进行了24小时的可用性。结果：有205例急性卒中患者，28名患者（14％）在发病后4.5小时内到达医​​院。十名患者（5％）有资格获得静脉内RTPA。从发病到医院到达的平均持续时间为122.50分钟，针对针时间的平均门为108分钟。溶栓前的平均国家健康卒中量表（NIHSS）为10.在90天，平均NIHSS是3，平均患者为2％的患者患者有良好的结果（夫人<= 2）。只有一名患者开发了大量的脑梗塞。患者没有患有症状的脑内出血或大流出。结论：泰国的Telestroke咨询可以促进老挝人民专利症急性缺血性患者的溶栓治疗。

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