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动脉内溶栓已发展为导管介入颅内循环,顶端抵达血凝块,并在释放药物前使血栓裂解。作者报道用此方法治疗的12例病人。 1991年1月～1995年2月,确诊为严重缺血性卒中病人的标准:(1)临床检查提示为大血管闭塞所致的卒中,年龄18岁～75岁;(2)入院时CT无实质性大片缺血的表现;(3)血管造影示大脑中动脉(MCA)或基底动脉(BA)闭塞,而无同侧颈内动脉或椎动脉颅外段闭塞;(4)病程不超过6h。重度高血压或有严重合并症
Intra-arterial thrombolysis has evolved into a catheter-mediated intracranial circulation that reaches the blood clot at the tip and cleaves the thrombus before releasing the drug. The authors report 12 patients treated with this method. From January 1991 to February 1995, the criteria for patients diagnosed as having severe ischemic stroke were as follows: (1) the clinical examination revealed a stroke due to macrovascular occlusion, aged 18 to 75 years; (2) CT (3) angiography showed occlusion of the middle cerebral artery (MCA) or basilar artery (BA) without occlusion of the ipsilateral internal carotid artery or vertebral artery; (4) duration of no more than 6 h . Severe hypertension or serious complications