自《中国急性缺血性脑卒中诊治指南2014》发布以后,缺血性脑卒中的诊治方法有了新的进展.基于此背景,中华医学会神经病学分会脑血管病学组组织编写组,结合国内外相关领域进展,对指南进行更新,突出院前处理、急诊评估与诊断流程、急性期静脉溶栓、血管内取栓、影像学评估等方面的进展,以期体现急性缺血性脑卒中的最新诊治规范,指导临床医师工作.指南同时强调急性脑卒中的治疗是一项系统工程.

Since the Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2014 published,many effective progresses have been made during the past four years.Guidelines update is necessary to improve the management of acute ischemic stroke.The Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2018 is approved by Chinese Society of Neurology,Chinese Stroke Society.The purpose of the guideline is to provide up-to-date recommendations in management of acute ischemic stroke,especially in pre-hospital care,emergency evaluation and diagnostic pathway,intravenous thrombolysis,endovascular treatment and multi-model image evaluation.The concept of systematic management of stroke is emphasized.