China's first stroke center construction guide issued a cerebral infarction sudden need to "send right" hospital
China's first stroke center construction guide issued a cerebral infarction sudden need to "send right" hospital June 29, 2015 Source: Xinhuanet On June 27, the China Stroke Center Construction Guide (hereinafter referred to as the “Guideâ€), which was developed by the China Stroke Association, the National Health Care Center for Neurology, and the China Stroke Center Alliance, was first released, and the China Stroke Center was also announced. List of Union (CSCA) member hospitals. Professor Wang Yongjun of the National Center for Neurological Diseases Clinical Medical Research and Beijing Tiantan Hospital affiliated to Capital Medical University said: "The publication of the "Guide" and the list of hospitals will benefit the most patients and family members of the stroke. In the future, the stroke patients will be affected, and the family members need only be short. Timely, professional, and standardized treatment can be obtained by sending the patient to the nearest stroke center hospital, which will provide critical lifesaving time for stroke patients." Cerebral infarction first aid not only "fast", but also to send "right" hospital After someone has a sudden cerebral infarction in the family, many people know that they should send the patient to the hospital as soon as possible, but they should be sent to any hospital. According to statistics, 60%-80% of stroke patients in China are currently cerebral infarction patients. When the cerebral infarction occurs, the brain tissue may undergo irreversible changes after 3 hours of ischemia. For patients with such treatments at home and abroad, it is recommended to treat intravenous thrombolysis as soon as possible within 3 hours after the onset of the disease. . Studies have shown that intravenous thrombolytic therapy can not only see symptom relief within 24 hours, but also promote the recovery of brain function, reduce the proportion of patients with disabilities, and save patients' lives. International standards stipulate that the time from the entrance to the hospital to the beginning of intravenous thrombolysis should be controlled within 60 minutes, but in China, many large hospitals can not meet this requirement, which is nearly twice that of developed countries. Even longer. Professor Wang Yongjun of the National Center for Neurological Diseases Clinical Medical Research and Beijing Tiantan Hospital affiliated to Capital Medical University said that after the occurrence of cerebral infarction, many patients were sent to the nearest hospital or their acquaintance hospitals, but these hospitals may not necessarily have Thrombolytic conditions do not necessarily have a rapid emergency response mechanism for patients with acute cerebral infarction. The precious first aid time of patients is wasted on the way of registration, queuing, filming, and smashing multiple departments. The chance of thrombolytic therapy for patients is quickly lost. The risk of disability and loss of life is increasing. Therefore, family members should not only be quick but also accurate in the first aid of stroke. Choosing the right hospital will be the key to emergency treatment for stroke patients." Stroke patients will have designated professional hospitals in the future As the first "Guide" on the construction standards of stroke centers in China, in the aspects of qualifications, facilities, equipment, personnel and stroke diagnosis and treatment capabilities, the Guide specifies the specific standards for the construction of stroke centers, and the stroke center certification based on these criteria. The hospital will be more professional and comprehensive in terms of ability, experience and equipment in stroke treatment than other hospitals. For example, every patient sent to the Stroke Center will be staffed by an experienced professional stroke team that will include emergency physicians, 24-hour stroke teams, neurology specialists, and rehabilitation specialists. And each team member entering the stroke team must undergo multiple audits from experience to skills and training; the 24-hour service stroke team leader must be a deputy director level or above and have extensive clinical experience: they each At least 100 patients with cerebrovascular disease diagnosed and treated each year, that is, 1 patient per 3 days; in terms of equipment, the stroke center hospital needs to be equipped with a 24-hour regular inspection laboratory, which can be given priority. CT or MRI and other inspection equipment for patients with suspected strokes; in addition, the Guide also specifies more detailed and standardized requirements in various aspects such as prevention and care. Professor Lou Min, Department of Neurology, the Second Affiliated Hospital of Zhejiang University School of Medicine, said: "In many hospitals in China, 7 to 9 links including the first consultation, blood examination, imaging examination, internal medicine, multidisciplinary consultation, and surgery have been completed. , or have opened a green channel for emergency treatment of stroke patients, and stroke patients can be sent to these members to get timely, effective and professional first aid." It is understood that 455 hospitals have applied to join the China Stroke Center Alliance (CSCA). The Beijing area includes more than 10 hospitals including Tiantan Hospital, Xuanwu Hospital, Chaoyang Hospital and Luohe Hospital. In the future, these hospitals will enter the hospital for medical treatment. The navigation system APP, the public can download the app through the mobile phone, and quickly learn about the nearest professional treatment hospital according to the positioning. The navigation system will also be docked with 120, so that the patient can get the most favorable and convenient medical help. A test of three mouth tests to quickly identify symptoms of cerebral infarction The “Guidelines†that define the standards for the construction of stroke centers and the list of hospitals for members of the China Stroke Center Alliance will provide clear guidance and assistance for stroke relief. However, in order to comprehensively improve the level of stroke assistance in China, the people should also know how to judge quickly and accurately. Brain stem. In this regard, the Vice President of the Chinese Stroke Association and Professor Dong Qiang of the Department of Neurology of Huashan Hospital affiliated to Fudan University stressed: "The patient and his family quickly recognize the symptoms of cerebral infarction as "speaking with a mouthful of horns, arms not going to the hospital." The patient does three tests: language test, ask the patient to repeat a phrase, if the speech is unclear or unable to speak; smile test, ask the patient to "feel" or smile, one side of the facial expression is not normal; raise the hand test, please close the eyes If the arms are lifted for 10 seconds, one arm cannot be maintained. As long as any one of these three symptoms appears, the patient should be sent to the hospital without hesitation. In addition, patients and their families should not be alarmed if they find symptoms of cerebral infarction. Try to keep your mood steady so that you don't get a first aid error."
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