Stroke Review: Thrombolysis, Thrombectomy and SAH | Part 2 | 中風 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字;遇到過度簡化或舊門檻,請搭配下方提示與原始資料閱讀。這是概念學習材料,不替代個別醫療評估。

Lyrics · 完整歌詞

Four sentences hold this battlefield.

All ischaemic stroke care begins with a non-contrast CT,
because only the absence of blood permits alteplase within four
and a half hours.
Is the blood pressure above 185 over 110?
Lower it before thrombolysis,
but otherwise tolerate up to 220 over 120 to feed the penumbra.
On large vessel occlusion,
perfusion mismatch imaging extends thrombectomy to twenty-four hours after the patient was last seen
well.
Lumbar puncture for xanthochromia follows a negative CT in thunderclap headache,
and nimodipine for twenty-one days guards against vasospasm.


All ischaemic stroke care begins with a non-contrast CT,
because only the absence of blood permits alteplase within four
and a half hours.
Is the blood pressure above 185 over 110?
Lower it before thrombolysis,
but otherwise tolerate up to 220 over 120 to feed the penumbra.
On large vessel occlusion,
perfusion mismatch imaging extends thrombectomy to twenty-four hours after the patient was last seen
well.
Lumbar puncture for xanthochromia follows a negative CT in thunderclap headache,
and nimodipine for twenty-one days guards against vasospasm.

Medical Notes · 醫學學習提示

  1. 中風治療需緊急評估,歌詞口訣不能取代適應症判斷
  2. 立即腦影像排除出血,常先做無顯影劑 CT
  3. 沒有出血只是條件之一;仍須評估症狀、時窗與禁忌
  4. 合適患者 4.5 小時內溶栓;部分可依進階影像延長時窗
  5. 靜脈溶栓前通常須控制血壓至 <185/110 mmHg
  6. 由醫療團隊依流程降壓,避免過度降低灌流
  7. 未再灌流且無其他急降壓需求時,常以 220/120 作評估界線
  8. 大血管阻塞需迅速評估取栓,不能只看時間
  9. 部分患者最後正常後 6–24 小時仍可取栓,須符合篩選條件
  10. 最後正常時間不一定等於被發現症狀的時間
  11. CT 陰性後是否腰穿,須看發作時間、品質與臨床疑慮
  12. nimodipine 用於降低延遲性缺血、改善預後,非僅防痙攣

References