摘要
目的 为了研究DSA脑血管造影阴性的急性缺血患者动脉溶栓治疗的影像及临床预后。方法 我们分析了动脉溶栓患者的临床，DSA脑血管造影和MRI影像学资料，并对DSA脑血管造影阴性和阳性的两组患者进行了分析比较。结果 在全部52例患者中有6例表现为脑血管造影阴性，但MRI均发现了梗塞灶，并且全部进行了介入溶栓治疗。结论 大约有10％的急性缺血患者的早期脑血管造影为阴性，这组患者适合介入溶栓治疗，而且预后良好。
Objective The aim of this study was to determine the clinical and radiological outcome of acute stroke patients who had no vessel occlusion on arteriography and to define predictors of clinical outcome, Methods We analyzed clinical and radiological data of stroke patients whose arteiography performed within short time of symptom onset did not visualzel occlusion. Results 6 of 52 Consecutive patients who underwent arteriography with the intention to perform intraarterlal thrombolysis did not show any arterial occlusion All the patients had follow-up brain imaging.All of the 6 patients was shown the lesion in the brain.The patients was treated by urokinase intraatery.Conclusion About 10% of the all stroke patients with normal early arteriography show infarcts on brain Imaging：however clinical outcome is usually favorable after the intraatery therapy.
出处
《中华临床医学杂志》
2006年第7期21-22,共2页
Chinese Journal of Clinical Practical Medicine
