脳梗塞の初期診療

Initial Treatment for Cerebral Infarction

Point

・rt-PA静注療法や血栓回収療法などが脳梗塞においてやるべき治療となり，さらに後方循環，広範囲脳梗塞の治療へと適応が拡大した．

・救急隊からの連絡を受け，患者の情報収集からCT，採血などを効率よく行うことでスムーズにrt-PA静注療法や血栓回収療法の適応の決定が可能となる．

・血栓回収療法の際には，機器やデバイスを準備する時間の短縮を図ることにより，トータルとしての時短を図ることが必要である．

　The treatment protocol for ischemic stroke has changed drastically in the past 20 years. In particular, the indications for recombinant tissue plasminogen activator（rt-PA）and thrombectomy have expanded. Using rt-PA or thrombectomy may be selected smoothly by receiving a call from the emergency team and efficiently collecting patient information, computed tomography scans, and blood samples. The total time required to prepare the equipment and devices should be reduced. To save as many patients as possible, a system should be established. A multidisciplinary approach is necessary from delivery to treatment to overcome the limitations of an individual doctor. Herein, we present our hospital's innovations to help other hospitals develop such systems.