论文部分内容阅读
为评价急性闭塞性脑血管病所致的缺血性脑中风经选择性脑动脉内溶栓治疗后血管再通及神经功能障碍恢复效果，本文通过股动脉穿刺，采用Ｓｅｌｄｉｎｇｅｒｓ法将导管选择性插至脑动脉造影并溶栓治疗１９例急性脑梗塞患者，尿激酶用量２５万单位至１００万单位。结果：本组１９例急性脑梗塞病例闭塞血管影像学再通８９．５％（１７／１９），神经功能障碍恢复率８９．５％（１７／１９），其中治愈率３６．８％（７／１９），显效４２．１％（８／１９），有效１０．５％（２／１９），无效１０．５％（２／１９）。提示：急性脑梗塞的脑动脉内溶栓疗法是一种有价值的治疗手段，特别对早期脑梗塞疗效较好，其预后与发病时间及闭塞部位有密切关系。
In order to evaluate the recovery effect of recanalization and neurological dysfunction after ischemic stroke caused by acute occlusive cerebrovascular disease by selective intracerebral thrombolysis, this article through the femoral artery puncture, Seldingers method of catheter selection Insertion to cerebral arteriography and thrombolysis in 19 patients with acute cerebral infarction, urokinase dosage of 250,000 units to 1 million units. Results: In 19 acute cerebral infarction patients, 89.5% (17/19) of recanalization of vascular occlusion and 89.5% (17/19) of recovery of neurological dysfunction were found. The cure rate was 36.8% (7 / 19), effective 42.1% (8/19), effective 10.5% (2/19), invalid 10.5% (2/19). Tip: Acute cerebral infarction intracerebral thrombolysis therapy is a valuable treatment, especially for early cerebral infarction better curative effect, the prognosis and onset time and occlusion sites are closely related.