论文部分内容阅读
目的探讨动脉溶栓治疗急性脑梗死的临床效果。方法回顾分析60例患者的临床资料。结果经动脉造影证实,溶栓后即刻完全再通15例,部分再通28例,未通17例;溶栓前运动障碍39例,语言障碍21例,意识障碍9例;溶栓后1h复查,运动改善37例,语言改善17例,9例昏迷患者完全清醒;术后随访12个月无复发及其他并发症发生。结论超选择性动脉内溶栓是治疗急性脑梗死的一种安全有效的方法,对发病6h以内行超选择性动脉内溶栓治疗可使大部分脑梗死患者闭塞动脉再通,最大限度的改善了患者的预后,临床临床应用。
Objective To investigate the clinical effect of arterial thrombolysis in acute cerebral infarction. Methods The clinical data of 60 patients were retrospectively analyzed. Results confirmed by arteriography, complete recanalization immediately after thrombolysis in 15 cases, partial recanalization in 28 cases, failed in 17 cases; 39 cases before thrombolytic dyskinesia, speech disorders in 21 cases, disturbance of consciousness in 9 cases; 1 h after thrombolysis review , 37 cases improved with exercise, 17 cases with language improvement and 9 cases with unconsciousness were completely awake. No recurrence and other complication occurred after 12 months of follow-up. Conclusion Superselective intra-arterial thrombolysis is a safe and effective method for the treatment of acute cerebral infarction. Intra-arterial thrombolysis with intra-arterial hyper-selective treatment within 6 hours of onset can lead to recanalization of most of the patients with cerebral infarction and maximize the improvement The prognosis of patients, clinical clinical application.