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目的:研究脑梗塞用天普洛欣溶栓治疗的时间窗在发病6h后是否有效及出血等副作用。方法:采用天普洛欣和维脑路通对照研究,用临床评分和DSA、SPECT以及血流变学等对病人治疗前后进行客观评价。结果:对6h外脑梗塞患者慎重地溶栓治疗仍有较好疗效而并无出血倾向的明显增加。结论:急性脑梗塞的溶栓治疗不应固定在6h的时间窗内,有些患者可以适当超出,治疗应因人而宜,使更多的患者得到有效治疗
Objective: To study whether the time window of thrombolysis thrombolytic therapy for cerebral infarction is effective after 6h and the side effects such as bleeding. Methods: The control study of Venus and Venoruton, using clinical scores and DSA, SPECT and hemorheology, objective evaluation of patients before and after treatment. Results: 6h cerebral infarction patients with cautious thrombolytic therapy is still a good effect without a significant increase in bleeding tendency. Conclusion: The thrombolytic therapy of acute cerebral infarction should not be fixed in the time window of 6h, some patients can be properly exceeded, the treatment should be appropriate, so that more patients receive effective treatment