急性缺血性脑卒中溶栓代理决策者决策困境的研究进展

doi:10.3761/j.issn.2096-7446.2026.04.020

Abstract

Abstract:

Surrogate decision-makers for thrombolysis in acute ischemic stroke often fall into decision-making dilemmas due to multiple pressures，resulting in decision delays. This article reviews the connotation，assessment tools，influencing factors，and coping strategies of the decision-making dilemma of surrogate decision makers for thrombolytic therapy in acute ischemic stroke，proposes the thrombolytic decision-making clinical practice pathway，limitation of current research and suggestions. It aims to provide theoretical and practical basis for early identification of decision-making dilemma risks，AI-enabled formulation of individualized decision-making assistance plans，and further optimization of the treatment process for acute ischemic stroke.

Key words: Ischemic Stroke, Thrombolysis, Surrogate Decision Makers, Decision-Making Dilemma, Artificial Intelligence, Review Literature as Topic

LI Lingling, REN Liyuan, MA Peifen, YAN Hui, WANG Xinglei, SU Xuan, DOU Xinman. Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 503-507.

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Research progress on decision-making dilemmas of surrogate decision makers for thrombolysis in acute ischemic stroke

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