摘要
目的 探讨急性脑梗死的动脉内超早期溶栓治疗。方法 对 1996年 8月～ 2 0 0 0年 2月用尿激酶进行超早期 (发病至溶栓时间 <6h)动脉内接触性溶栓治疗 17例急性脑梗死病例进行回顾性分析。结果 17例病人血栓或栓子位置分别为 :大脑中动脉M1段 10例 ,大脑前动脉A段 1例 ,大脑后动脉P段 1例 ,椎 基底动脉 5例。溶栓后血管再通 15例 ,但 11例有残余狭窄。临床症状完全恢复者12例 ,部分恢复者 3例 ,死亡 2例。
Objective To explore the early endovascular thrombolytic therapy for acute brain thrombo-embolism. Methods To review the thrombolytic treatment of 17 cases of acute (<6 hours) brain thrombo-embolism with urokinase intraarterially from August 1996 to March 2000. Results Among the 17 patients, thrombi were revealed by angiography with the in middle cerebral artery (M1 segment) in 10 cases, anterior cerebral artery (A1 segment) in 1 case, posterior cerebral artery (P1 segment) in 1 case and vertebral-basilar artery in 5. Recanalization was achieved in 10 patients immediately after thrombolysis, but 11 patients remained with residual stenosis. Clinical symptoms were completely disappeared and restoration was achieved in 12 patients, partical restoration occurred in 3 patients but 2 died. Conclusions Early endovascular thrombolysis with urokinase is one of safely and effective choice to the treatment of acute brain thrombo-embolism.
出处
《介入放射学杂志》
CSCD
2000年第3期141-143,共3页
Journal of Interventional Radiology
关键词
急性脑梗死
动脉内溶栓
尿激酶
治疗
Early brain thrombo-embolism, Endovascular thrombolysis
Urokinase
