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超选择动脉溶栓治疗急性脑梗死临床分析

Clinical analysis of the ultraselective artery thrombolysis for acute cerebral infarction

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【作者】 葛英肖佐才胡向阳

【Author】 GE Ying1,XIAO Zuo cai1,HU Xiang-yang2(1.The People’s Hospital of Mianyang,Sichuan 621000,China;2.The Central Hospital of Mianyang,Sichuan 621000,China)

【机构】 绵阳市人民医院绵阳市中心医院 四川绵阳621000四川绵阳621000

【摘要】 目的:观察动脉内溶栓治疗早期脑梗死的有效性和安全性。方法:应用超选择性造影技术,将微导管送至脑血管闭塞部位,将尿激酶(UK)经微导管泵入行溶栓治疗,动态观察血管再通、临床疗效及安全性。结果:经溶栓治疗颈内动脉系统血管闭塞13例、椎-基底动脉系统闭塞3例,闭塞血管再通率68.75%,并发无症状脑出血1例,经对症治疗临床治愈。结论:UK超选择动脉溶栓治疗脑梗死疗效肯定而安全,未发现严重不良反应。

【Abstract】 Objective:To analyze the efficacy and safety of the artery thrombolysis for acute earlier cerebral infarction.Methods:After selectivity opacification,the micro-catheter was sent to the position of vascular occlusion in cerebral vessels for pumping UK.The recanalization rate,curative effect and safety were observed.Results:There were 13 patients with arteria carotid internal occlusion and 3 patients with vertebra-arteria basilar occlusion.The recanalization rate was 68.75%,and coincidence symptomless apoplexy in 1 case that was healed well after symptomatic treatment Conclusion:The artery thrombolysis for acute earlier cerebral infarction with UK was effective and safe,without grave side effect.

【关键词】 脑梗死尿激酶溶栓
【Key words】 Cerebral infarctionUrokinaseThrombolysis
  • 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2008年14期
  • 【分类号】R743.3
  • 【被引频次】2
  • 【下载频次】39
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