摘要
目的探讨急性缺血性小卒中的治疗方案。方法回顾总结我院73例急性缺血性小卒中的诊治资料,结合文献资料进行分析。结果 73例患者中,均应用抗血小板聚集药物、神经保护制剂、脱水药物及中成药等治疗,其中对发病时间短且呈进展性的患者采取抗凝治疗的有13例,对肢体轻偏瘫伴有高级智能减退或混合性失语的患者,在溶栓时间窗内的患者采取溶栓的有5例。结论对于急性缺血性小卒中的治疗,应对患者整体评估后,根据每位患者情况采取不同的治疗方案,必要时可以考虑抗凝或溶栓治疗,灵活掌握治疗指南的参考意见。
Objective To investigate the treatment for Acute ischemic minor stroke .Methods Diagnosis and treatment data of 73 patients in our hospital were retrospectively mild symptoms of acute ischemic stroke ,combined with an analysis of the lit-erature .Results In 73 patients ,both the application of antiplatelet drugs ,neural protection agents ,dehydration drug and tradi-tional Chinese medicine treatment ,13 cases in which the onset time is short and a progressive in patients taking anticoagulant therapy on hemiplegia occurred ,accompanied by senior intelligence impairment or mixed with aphasia ,5 patients in thrombolytic therapy within the time window of the thrombolytic therapy .Conclusion For acute ischemic minor stroke treatment ,patients with the overall assessment ,adopt different treatments according to the situation of each patient ,when necessary ,can consider the anticoagulant or thrombolytic therapy ,the treatment guidelines for reference .
出处
《滨州医学院学报》
2014年第2期114-115,共2页
Journal of Binzhou Medical University
关键词
急性缺血性卒中
抗凝
肝素
低分子肝素钙
Acute ischemic minor stroke
Anticoagulant
Heparin
Low molecular weight heparin calcium
