Author/Editor		Pogačnik, Tomaž
Title		Stopenjska obravnava možganske kapi
Translated title		Stepwise management of stroke
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 38, št. Suppl 5
Publication year		1999
Volume		str. 45-53
Language		slo
Abstract		The purpose of this paper is to provide an oview of stepwise management of stroke patients. This consists of three steps. The first step should be carried out by the general practitioner, who has to recognise acute stroke and provide for the patient's quick transport to the hospital. Timely identification of patients for whom thrombolytic therapy is suitable is of extreme importance. Some patierns should be treated at home or in a health centre. Special attention should be paid to riskfactors, the rehabilitation program and healyth education. The second step should be carried out by neurologists at neurological outpatient clinics and neurology departments. A sample algorithm is presented for diagnostic treatment of patients with stroke. Finally, the most demanding diagnostic procedures are carried out and, in the case of severely ill patients, intensive management and care are provided.
Summary		Namen prispevka je širši pregled stopenjske obravnave bolnikov z možgansko kapjo. Stopenjska obravnava bolnikovz možgansko kapjo poteka v treh stopnjah. Na prvi stopnji bolnike obravnava zdravnik splošne medicine, ki mora prepoznati akutno možgansko kap in poskrbeti za hiter prevoz v bolnišnico. Pravočasna prepoznava bolnikov, ki so primerni za trombolitično zdravljenje, je izjemnega pomena. Nekatere bolnike zdravnik splošne medicine obravnava doma in v ambulanti zdravstvenega doma. Zdravi dejavnike tveganja, skrbi za pravilen potek rehabililacijskega programa in izvaja zdravstveno vzgojo. Na drugi stopnji obravnave možganske kapi obravnavamo bolnike v nevroloških ambulantah in na nevroloških oddelkih. Prikazan je primer algoritma za diagnostično obravnavo pri možganski kapi. Na tretji istopnji izvajamo zahtevne diagnostične preiskave in intenzivno zdravljenje ter nego zelo prizadetih bolnikov.
Descriptors		CEREBROVASCULAR DISORDERS RISK FACTORS EMERGENCY MEDICAL SERVICES HOSPITALIZATION