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Điều trị đột quỵ liên quan đến một nhóm đa ngành. Bác sĩ chịu trách nhiệm cho chăm sóc cho sức khỏe nói chung của người sống sót sau đột quỵ và cung cấp các hướng dẫn nhằm ngăn chặn một cơn đột quỵ thứ hai. | Stroke Other investigations that may be performed to guide treatment include an electrocardiogram angiography ultrasound and electroencephalogram. Treatment team Stroke treatment involves a multidisciplinary team. Physicians are responsible for caring for the stroke survivor s general health and providing guidance aimed at preventing a second stroke. Neurologists usually lead acute-care stroke teams and direct patient care during hospitalization. The team may include a physiatrist a specialist in rehabilitation a rehabilitation nurse a physical therapist an occupational therapist a speech-language pathologist a social worker a psychologist and a vocational counselor. Treatment Emergency treatment Emergency treatment of stroke from a blood clot is aimed at dissolving the clot. This thrombolytic therapy is currently performed most often with tissue plasminogen activator or t-PA. This t-PA must be administered within three hours of the stroke event. Therefore patients who awaken with stroke symptoms are ineligible for t-PA therapy as the time of onset cannot be accurately determined. The t-PA therapy has been shown to improve recovery and decrease long-term disability in selected patients. The t-PA therapy carries a 6.4 risk of inducing a cerebral hemorrhage and is not appropriate for patients with bleeding disorders very high blood pressure known aneurysms any evidence of intracranial hemorrhage or incidence of stroke head trauma or intracranial surgery within the past three months. Patients with clot-related thrombotic or embolic stroke who are ineligible for t-PA treatment may be treated with heparin or other blood thinners or with aspirin or other anti-clotting agents in some cases. Emergency treatment of hemorrhagic stroke is aimed at controlling intracranial pressure. Intravenous urea or mannitol plus hyperventilation are the most common treatments. Corticosteroids may also be used. Patients with reversible bleeding disorders such as those due to anticoagulant .
