摘要
目的:通过对28例急性脑梗塞进行动脉内溶拴治疗,就其治疗时间窗,药物用量及其并发症的防治进行讨论。方法:选择性造影并溶栓,血管内造影证实血管开通情况,并在治疗前后及起病1个月后分别进行神经功能评定。结果:阻塞血管完全再通率46.4%(13/28),部分再通率32.1%(9/28),未开通6例(21.4%);临床治愈率10例(35.7%),显著好转7例(25%),有效6例(21.4%),无变化4例(14.3%),死亡1(3.6%)例。结论:介入性溶栓是治疗急性脑梗塞的一种安全有效的方法。
Objective： To investigate the therapeutic time window, dosage and prevention of complication of interventional thrombolytic therapy for treating acute cerebral infarction by reviewing 28 cases. Methods： The status of recanalization and patency of occluded arteries after injection of UK through selected arterial catheterization was assessed by angiography. And the function of neural system are assessed before and after therapy and 1 month after disease. Results： The rate of recanalization is 78.5% （13 complete patency, 9 partial pateney and 6 failure）. Clinical cure in 10 patients, dramatic effectiveness in 7 patients and 4 patients have no effectiveness. One patient died of failure of patency of cerebral infaction. Conclutions： Interventional thrombolytic therapy is safe and effective for treating acute cerebral infarction.
出处
《岭南急诊医学杂志》
2007年第2期102-103,共2页
Lingnan Journal of Emergency Medicine
关键词
急性脑梗塞
溶栓
尿激酶
acute cerebral infarction
thrombolysis
urokinase
