摘要我院率先在湘潭地区开展卒中流程改进,包括实行院长负责制、制作交待病情的微视频、规范化语言沟通、CT室溶栓、多学科无缝对接等.流程改进后入院至溶栓时间( door to needle times,DNT)明显缩短,中位时间为25 min,最短DNT为8 min.我院率先在湘潭地区开展绕行急诊科计划及救护车上溶栓计划,绕行急诊科患者DNT控制在15 min内.

abstractsThe hospital took the lead in the area to carry out stroke process improvement, including the accountability practice of the president, micro-videos for illness condition description, standardized language communication, CT-room thrombolysis, and interdisciplinary seamless corporation among others. The timespan from admission to thrombolysis ( door to needle time, DNT) has shortened significantly, scoring the median time of 25 minutes and the shortest of 8 minutes. The hospital is also the first in the area to initiate the program to bypass the emergency department and the thrombolytic treatment on the ambulance. Such bypass program keeps the DNT of emergency patients within 15 minutes.