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急性基底动脉闭塞临床上较少见,但病情进展迅速且凶险,病死率高达40%～85%。对于这一疾病的紧急治疗是否应采取动脉溶栓,抑或静脉溶栓,甚至保守治疗,目前尚存在争论。有人认为,为了挽救患者的生命,应采取动脉溶栓;也有人认为,急性基底动脉闭塞采用动脉溶栓治疗的有效性目前尚缺乏有力的证据,让患者承担动脉溶栓带来的操作风险和经济负担并不值得。因此主张在有条件的医疗中心开展随机对照试验,以获得有力的证据。
Acute basilar artery occlusion clinically rare, but the disease progresses rapidly and dangerous, the mortality rate as high as 40% to 85%. Whether the emergency treatment of this disease should be taken arterial thrombolysis, or intravenous thrombolysis, and even conservative treatment, there is still controversy. Some people think that, in order to save the lives of patients, arterial thrombolysis should be taken; some people think that the effectiveness of arterial thrombolysis in patients with acute basilar artery occlusion is currently lacking strong evidence to allow patients to carry the risk of arterial thrombolysis and The economic burden is not worth it. Therefore advocates in the conditional medical center to carry out randomized controlled trials, in order to obtain strong evidence.