摘要
目的观察应用尿激酶动脉溶栓治疗急性颈内动脉系统脑梗死的疗效及并发症。方法对20例发病小于6 h的急性颈内动脉系统脑梗死患者行超选择性动脉尿激酶溶栓治疗。其中颈内动脉主干闭塞5例,大脑中动脉M1段闭塞10例,大脑前动脉闭塞2例,另3例未见明显责任血管,考虑为穿支动脉闭塞。结果经溶栓治疗后血管完全再通9例,完全再通率为45%,血管部分再通4例,部分再通率为20%,总有效率为65%。未通血管5例,占总数25%。结论超选择性动脉溶栓治疗急性脑梗死,能明显提高血管再通率,是一种安全、有效的治疗方法。
Objective To observe the infarction and complications of the arterial thrombolysis treatment with urokinase for acute internal carotid artery cerebral.Methods 20 patients suffered from acute carotid system cerebral infarction with a less than 6-hour outbreak were treated with superselective arterial thrombolytic therapy.Among them 5 cases were Carotid artery occlusion,10 cases are middle cerebral artery M1 segment occlusion and 2 cases were cerebral artery occlusion,There was no obvious blood vessels in the other 3 cases,therefore they were considered as perforating artery occlusion.Results 9 cases resulted in complete recanalization after thrombolytic therapy.The complete recanalization rate was 55%.4 cases have partial recanalization and the rate was 20%.the total effective rate was 75%.5 cases have no recanalization,which takes 25% of the total.Conclusion Superselective intra-arterial thrombolytic therapy can significantly improve the rate of recanalization and it is a safe and effective treatment.
出处
《安徽医学》
2011年第1期44-46,共3页
Anhui Medical Journal
关键词
脑梗死
动脉溶栓
尿激酶
Cerebral infarction
Arterial thrombolysis
Urokinase
