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1新推出3项卒中诊治指南指南是对现有临床研究证据的归纳和总结,对诊断和治疗工作有最直接的指导作用。2006年发表和更新的脑血管病预防和治疗指南主要有3项。美国国立卒中学会(NSA)的短暂性脑缺血发作(TIA)治疗指南提出,需对TIA患者尽早完成头颅和血管影像检查(<24～48h),抗血小板治疗首选阿司匹林、阿司匹林+潘生丁,氯吡格雷的作用稍优于前述两药。对于适合应用颈动脉内膜剥脱术治疗的患者,建议在TIA发生后2周内完成手术。在这项指南中未推荐颈动脉支架治疗。
1 The three new guidelines for diagnosis and treatment of stroke are the summary and summary of existing clinical research evidence and have the most direct guidance on diagnosis and treatment. There are three main guidelines for the prevention and treatment of cerebrovascular disease published and updated in 2006. The guidelines for the treatment of transient ischemic attacks (TIA) in the National Institutes of Stroke (NSA) suggest that skull and vascular imaging should be completed as early as possible (<24-48 h) in TIA patients, aspirin, aspirin + dipyridamole, The effect of piogrel is slightly better than the two drugs mentioned above. For patients eligible for carotid endarterectomy, it is recommended to complete the procedure within 2 weeks of TIA. Carotid stenting is not recommended in this guideline.