Intravenous thrombolytic therapy in the acute stage of cerebral infarction is the only (almost the only effective early) rescue method recognized by the world to reduce disability. All clinical guidelines recommend intravenous thrombolytic therapy. In the United States, only patients who do not accept intravenous thrombolytic therapy need to sign. Remember: every minute of delay, 1.9 million more nerve cells will die in brain tissue! "Door to needle time" (refers to the time period from the time the patient arrives at the emergency door to the time when the thrombolytic drug is injected) is qualified within one hour. Especially excellent hospitals can start thrombolysis within half an hour. The key to shortening the "door needle" time is to open a green channel (see a doctor first and then pay the fee), quickly sign and agree with the family members, do not need to wait for the examination and CT results, and allow the psychiatrist to read the film in the CT operation room to eliminate cerebral hemorrhage and thrombolysis immediately after brain tumors are eliminated! The average door needle time in Northern Europe is more than 20 minutes! Why can't we wait for the test results and CT results? Because there is no need to wait for results, international practice has already done comparative research. Most of the time in the hospital was delayed, waiting for the test or CT results, and the family members hesitated. To the hospital, the only thing you can rely on is the doctor, so you must trust the doctor. If the doctor has a problem, you have the right to pursue the responsibility afterwards, but do not waste time, because "time is the brain".
When 120 answers the phone, you have the right to ask 120 Command Center to send you to a hospital with thrombolytic qualification. This is your important right! After intravenous thrombolysis, patients with large artery infarction also need bridging stents to remove thrombus (as patients with acute ST segment elevation myocardial infarction need PCI surgery). Because of large artery occlusion, the success rate of intravenous thrombolysis is very low! After intravenous thrombolysis, patients who cannot be removed should be transferred to the hospital where stent removal can be performed.
