浅谈脑血管病融合病房的基本概念和建设框架 The Concept and Framework of Syncretic Stroke Unit

随着诊疗技术的发展，脑血管病的诊疗越来越多地需要其他相关学科的参与和合作，既往基于卒中单元为基础的合作模式需要更多的科室加入和更深入的合作方式。例如：缺血性卒中超急性期的再灌注治疗需要神经内科、神经外科、急诊科、神经重症监护科、神经介入科、放射科和康复科的配合；在卒中二级预防阶段，急性和亚急性期的卒中患者更强调营养支持和康复锻炼。融合性卒中单元作为卒中单元的升级模式，旨在促进神经病学、神经外科、康复部门的深入合作，以不同的合作模式，抓住分秒必争的契机，实施最佳临床实践，为患者争取更好的临床结果。探索脑血管病融合病房的初衷就是为了探索深入合作的融合病房模式，进一步加强再灌注治疗、二级预防、围手术期管理等卒中诊疗多环节的多科室协作，为构建适合不同医疗机构的卒中诊疗多科室联合模式提供参考。 Abstract: The development of cerebrovascular disease diagnosis and treatment technology facilitated more and more relevant disciplines mutual cooperation. Moreover, the stroke unit-based cooperation model requires further collaboration between more disciplines. For example, the reperfusion treatment in superacute stage of stroke requires the collaboration of neurology, neurosurgery, emergency, neurointensive care unit, neurointervention, radiology and rehabilitation disciplines. On the stage of stroke secondary prevention, it is emphasized on nutrition support and rehabilitation exercise in acute and subacute stroke patients. As the upgraded model of stroke unit, syncr