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为探讨超选择性动脉内溶栓治疗急性脑梗死的价值、疗效、安全性及适应性，对19例急性脑梗死患者采用Seldinger’s法经股动脉插管作全脑血管造影明确闭塞的动脉后，再选择性地向闭塞的动脉内直接注入25～100万u尿激酶进行观察。结果：19例患者神经功能障碍恢复率68.42％，其中治愈15．79％（3／19）；显效36．84％（7／19）；有效10.52％（2／19）；无效10.52％（2／19）；死亡26．32％（5／19）。提示超选择性动脉内溶栓治疗要严格选择病例．并且一定要安全合理的掌握好尿激酶的剂量和早期治疗，其治疗效果显著。
In order to explore the value, efficacy, safety and adaptability of superselective intra-arterial thrombolysis in the treatment of acute cerebral infarction, 19 patients with acute cerebral infarction were treated with Seldinger's method via femoral artery for definite occlusion of whole cerebral angiography, And then selectively injected into the occluded artery 25 to 100 million urokinase were observed. Results: The recovery rate of neurological dysfunction in 19 patients was 68.42%, of which 15.79% (3/19) were cured; 36.84% (7/19) effective; 10.52% (2/19) effective; 10.52% / 19); death was 26.32% (5/19). Tip hypersensitive arterial thrombolysis should be strictly selected cases. And must be safe and reasonable grasp of the dose of urokinase and early treatment, the treatment effect is significant.