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目的:初步研究早期选择性动脉溶栓治疗急性脑梗死的有效性和可行性。方法:对14例病程少于6小时,脑血管造影发现与症状相一致血管闭塞的脑梗死患者进行动脉溶栓治疗。尿激酶用量不超过100万u。结果:10例血管完全或部份再通,血管再通率71.4%;基本痊愈4例,显著进步3例,进步4例,总有效率78.6%。并发颅内出血4例,出血转化率28.6%。结论:选择性动脉溶栓是一种治疗急性脑梗死安全有效的方法。
Objective: To study the efficacy and feasibility of early selective arterial thrombolysis in the treatment of acute cerebral infarction. Methods: Thrombolysis was given to thrombolytic therapy in 14 patients with less than 6 hours duration of cerebral infarction after cerebral angiography was found to be consistent with symptoms. Urokinase dosage does not exceed 1 million u. Results: In 10 cases, the vessels recanalized completely or partially, the rate of recanalization was 71.4%. In 4 cases, 3 cases improved significantly, 4 cases improved and the total effective rate was 78.6%. 4 cases of intracranial hemorrhage, bleeding conversion rate of 28.6%. Conclusion: Selective arterial thrombolysis is a safe and effective method for the treatment of acute cerebral infarction.