ESUS 标准核对清单
用途适用： after standard stroke work-up when etiology remains uncertain and ESUS labelling is being considered.
分层All four met → ESUS construct; otherwise specify the unmet criterion.
局限不适用： before adequate etiologic work-up. · 易错点： calling lacunar syndromes ESUS. · ESUS ≠ automatic anticoagulation indication.
出处AHA/ASA secondary stroke prevention; 《中国缺血性卒中二级预防指南》 on zh
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
适用： after standard stroke work-up when etiology remains uncertain and ESUS labelling is being considered.
需要填写的项目
- Non-lacunar ischemic stroke on imaging · 选项
- No extracranial/intracranial atherosclerosis ≥50% in arteries supplying the infarct · 选项
- No major-risk cardioembolic source (after appropriate work-up) · 选项
- No other specific cause of stroke identified · 选项
计算方法与公式
All four required: non-lacunar infarct; no ≥50% stenosis in supplying arteries; no major-risk cardioembolic source; no other specific cause.
Confirm imaging pattern, vascular studies, cardiac monitoring/echo per pathway, then tick criteria.
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| Non-lacunar ischemic stroke on imaging | 否 |
|---|---|
| No extracranial/intracranial atherosclerosis ≥50% in arteries supplying the infarct | No (stenosis present) |
| No major-risk cardioembolic source (after appropriate work-up) | No (major source found) |
| No other specific cause of stroke identified | No (other cause present) |
→ESUSDoes not meet (incomplete)
- Criteria met：0 / 4
- Missing：nonlacunar, no_stenosis, no_major_ce, no_other
| Non-lacunar ischemic stroke on imaging | 是 |
|---|---|
| No extracranial/intracranial atherosclerosis ≥50% in arteries supplying the infarct | Yes — criterion met |
| No major-risk cardioembolic source (after appropriate work-up) | Yes — criterion met |
| No other specific cause of stroke identified | Yes — criterion met |
→ESUSMeets ESUS criteria
- Criteria met：4 / 4
- Missing：—
结果判读与分层
All four met → ESUS construct; otherwise specify the unmet criterion.
指南要点（原创整理）
- Four binary research criteria.
- Needs complete work-up.
- 下一步： AF monitoring strategy; secondary prevention pathway.
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 不适用： before adequate etiologic work-up.
- 易错点： calling lacunar syndromes ESUS.
- ESUS ≠ automatic anticoagulation indication.
核对与出处 · 可验证治理
参考指南与出处
- [指南 / 主要来源]AHA/ASA secondary stroke prevention; 《中国缺血性卒中二级预防指南》 on zh
- Hart RG, et al. Lancet Neurol 2014 (ESUS) · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- ESUS 标准核对清单的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- ESUS 标准核对清单怎么代入计算？能举个例子吗？
- 代入: Non-lacunar ischemic stroke on imaging 否、No extracranial/intracranial atherosclerosis ≥50% in arteries supplying the infarct No (stenosis present)、No major-risk cardioembolic source (after appropriate work-up) No (major source found)、No other specific cause of stroke identified No (other cause present) → 结果: ESUS Does not meet (incomplete)（Criteria met: 0 / 4、Missing: nonlacunar, no_stenosis, no_major_ce, no_other） 代入: Non-lacunar ischemic stroke on imaging 是、No extracranial/intracranial atherosclerosis ≥50% in arteries supplying the infarct Yes — criterion met、No major-risk cardioembolic source (after appropriate work-up) Yes — criterion met、No other specific cause of stroke identified Yes — criterion met → 结果: ESUS Meets ESUS criteria（Criteria met: 4 / 4、Missing: —）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →