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目的 观察急性中风病人选择性动脉内溶栓治疗的效果。方法 对 1 5例急性缺血性中风病人进行选择性动脉溶栓。溶栓前后按照卒中病人神经病学缺损程度评分标准进行神经功能缺损评分及临床疗效评定 ,并进行血管影像学评价。结果 1 5例病人中有 9例缺血后完全再灌注 (占 60 % ) ,3例缺血后部分再灌注 (占 2 0 % )。治疗后病人神经病学缺损评分显著下降 ,总有效率 80 % ,显效率 66 7%。结论 选择性动脉溶栓治疗急性缺血性中风安全、有效。
Objective To observe the effect of selective arterial thrombolysis in patients with acute stroke. Methods Selective arterial thrombolysis was performed in 15 acute ischemic stroke patients. Before and after thrombolysis according to the degree of neurological deficit score of patients with stroke neurological deficit score and clinical efficacy assessment, and vascular imaging evaluation. Results Of the 15 patients, 9 were completely reperfused (60%) after ischemia, and 3 were partially reperfused after ischemia (20%). After treatment, the patient’s neurological deficit score decreased significantly with a total effective rate of 80% and a markedly effective rate of 66.7%. Conclusion Selective arterial thrombolysis in the treatment of acute ischemic stroke is safe and effective.