【摘要】 目的:分析基层医院对急性缺血性卒中患者急诊DSA检查并介入治疗效果。方法:选取2015年3月-2017年3月笔者所在医院收治的20例急性缺血性卒中患者为研究对象,对其实施DSA检查并介入治疗,分析其治疗效果。结果:行急诊DSA检查并介入治疗后,20例患者中19例有明确主干血管堵塞,比例为95%,1例未见明显主干血管堵塞,比例为5%,分别进行不同方法治疗后,15例患者痊愈,比例为75%,5例患者好转,比例为25%,狭窄程度平均为(10.85±6.23)mm,ICA(颈内动脉)处20例,MCA(大脑中动脉)处10例,VA(椎动脉开口)处6例,PCA(大脑后动脉)处4例。结论:急性缺血性卒中患者选择DSA检查方法并介入治疗能够确定其是否出现颅内外脑供血动脉狭窄,有助于二级预防的制定,提高治愈率,降低致残率,值得在基层医院推广。更多还原

【Abstract】 Objective: To analyze the effect of emergency DSA examination and interventional therapy on acute and ischemic stroke in primary hospitals.Method:From March 2015 to March 2017,20 patients with acute ischemic stroke treated in our hospital were enrolled in this study.The DSA examination and interventional therapy were carried out, and the therapeutic effect was analyzed.Result:Twenty patients with acute ischemic stroke underwent emergency DSA examination and interventional therapy,19 of 20 patients had clear trunk occlusion, the ratio was 95%,1 case had no obvious trunk blood vessel blockage,the proportion was 5%.After treatment by different methods,15 patients were healed,the ratio was 75%,5 patients improved,the ratio was 25%,the narrow the degree of average was(10.85±6.23)mm,the ICA(internal carotid artery) in 20 cases,MCA(middle cerebral artery) in 10 cases,VA(vertebral artery opening) in 6 cases,PCA(posterior cerebral artery) in 4 cases.Conclusion:DSA examination and interventional therapy can determine whether it has intracranial and extracranial cerebral arterial stenosis, contribute to the development of secondary prevention.improve the cure rate,reduce the disability rate,is worth to promote in the primary hospital.更多还原