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急性脑梗死动脉内溶栓治疗疗效观察 被引量:3

Clinical evaluation of intraarterial thrombolysis in acute cerebral infarction
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摘要 目的 观察急性脑梗死患者行脑动脉内溶栓治疗的临床疗效。方法  2 6例临床及头颅CT诊断为急性脑梗死患者用尿激酶行经动脉介入溶栓治疗 (IATT) ,治疗前后均作脑血管造影、复查CT及神经功能缺损评分。结果  3例造影未见血管闭塞 ,2 3例患者即刻完全再通 7例 ,部分再通 11例 ,再通率 78%。结论 动脉溶栓疗法使 84 %的患者在 15d内神经功能缺损得到改善 ,脑动脉内溶栓治疗是治疗急性脑梗死有效的方法之一。 Objective To present a retrospective analysis of the clinical outcome in patients treated by local intra-arterial thrombolysis (LITT). Using urokinase for acute ischemic stroke of the anterior or posterior arterial circulation.Methods Twenty-six patients were treated with LITT using urokinase. The effects all patients were assessed by using angiography, brain CT and stroke scale before and after treatment. Results Among 26 patients, the complete reperfusion of blood vessel appeared in 7 and partial reperfusion in 11.The efficiency rate reached 78%.Conclusions Cerebral arterial thrombolysis with UK can improve neurologic function defect in 84% of patients with acute ischemic stroke after 15 days, suggesting one of the best ways for treatment.
出处 《介入放射学杂志》 CSCD 2004年第5期393-395,共3页 Journal of Interventional Radiology
关键词 急性脑梗死 动脉内溶栓治疗 疗效观察 脑血管造影 Intra-arterial thrombolysis Acute ischemic stroke Urokinase
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