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我科从1995年5月～2000年5月对发病6 h内的急性脑梗塞采用超早期颈总动脉溶栓治疗18例,收到满意效果,现报告如下。 1 临床资料本组18例中男11例,女7例,年龄40～70岁。发病至接受溶栓治疗时间3.5～6 h,全部病例均经头颅CT检查,除外脑出血和蛛网膜下腔出血,以及与临床症状相对应的CT低密度区,瘫肢肌力均为0～3级,其中语言不清3例。全部病例意识清楚,有2例轻度烦躁,血压均在26.7/16 kPa(200/120 mmHg)以下。 2 治疗方法和结果按常规方法作颈总动脉穿刺,成功后连接三通导管,取高纯度注射用尿激酶(广东天普公司生产)50万U,溶
Our department from May 1995 ~ May 2000 on the acute cerebral infarction within 6 h with ultra-early carotid artery thrombolysis in 18 cases, received satisfactory results, are as follows. 1 Clinical data The group of 18 patients, 11 males and 7 females, aged 40 to 70 years. The incidence of thrombolytic therapy was 3.5 to 6 hours. All cases were examined by skull CT except intracerebral hemorrhage and subarachnoid hemorrhage. CT low density regions corresponding to clinical symptoms were all found in 0 ~ 3, of which 3 were inaccurate language. All cases were well aware, with 2 mild irritable and blood pressure below 26.7 / 16 kPa (200/120 mmHg). 2 treatment methods and results of conventional methods for the common carotid artery puncture, after the success of connecting three-way catheter, take high-purity injection of urokinase (Guangdong Pu company) 500000 U, dissolved