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Zerebrale Ischämien pp 181–213Cite as

Therapie und Prophylaxe

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Zusammenfassung

Bei den meisten Schlaganfallpatienten steht zwar die aktuelle neurologische Symptomatik im Mittelpunkt — Therapie und Prognose werden aber entscheidend von den fast immer vorhandenen internistischen Grund- und Begleitkrankheiten bestimmt. In der Akuttherapie muß daher von Beginn an auf kardiovaskuläre Störungen (Herzinfarkt, Klappenfehler, Herzrhythmusstörungen, Hypertonie), Nierenfunktionsstörungen und Diabetes mellitus geachtet werden. Die frühzeitige Aufdeckung und Behandlung internistischer Probleme kann später schwer zu beherrschende Komplikationen verhindern helfen. So kann z. B. die hypervolämische Therapie mit niedermolekularen Dextranen eine latente Herzinsuffizienz manifest werden lassen und, anstatt zu helfen, den Patienten ins Rechtsherzversagen und ins Lungenödem bringen.

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Authors and Affiliations

  1. Department of Neurology, Streekziekenhuis, NL-7606 PP, Almelo, Niederlande

    Dr. med. Herman-J. Gelmers

  2. Neurologische Klinik, Universitätskliniken Mainz, Langenbeckstraße 1, D-6500, Mainz 1, Deutschland

    Dr. med. Günter Krämer

  3. Neurologische Klinik, Klinikum der Universität Heidelberg, Im Neuenheimer Feld 400, D-6900, Heidelberg 1, Deutschland

    Prof. Dr. med. Werner Hacke

  4. Neurologische Klinik, Med. Einrichtungen der Universität Düsseldorf, Moorenstraße 5, D-4000, Düsseldorf 1, Deutschland

    Prof. Dr. med. Michael Hennerici

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  1. Dr. med. Herman-J. Gelmers
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  2. Dr. med. Günter Krämer
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  3. Prof. Dr. med. Werner Hacke
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  4. Prof. Dr. med. Michael Hennerici
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Gelmers, HJ., Krämer, G., Hacke, W., Hennerici, M. (1989). Therapie und Prophylaxe. In: Zerebrale Ischämien. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10993-9_6

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