| 选择性动脉溶栓治疗急性脑梗死36例临床分析 |
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| 引用本文： | 廖宝共,梁海英,覃君德,唐利艳,覃莲.选择性动脉溶栓治疗急性脑梗死36例临床分析[J].现代预防医学,2011,38(17):3593-3594. |
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| 作者姓名： | 廖宝共 梁海英 覃君德 唐利艳 覃莲 |
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| 作者单位： | 柳州医学高等专科学校第一附属医院神经内科,柳州,545000 |
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| 摘 要： | 目的]探讨选择性动脉溶栓治疗急性脑梗死的有效性和安全性。方法]将某院收治的超早期脑梗死患者36例作为研究组,采用选择性动脉溶栓治疗,从股动脉插管至血管闭塞部位,尿激酶1万U/min持续泵人,用量25～100万单位;并选取同期年龄、病情、发病时间相匹配的超早期急性脑梗死患者36例作为对照组,给予静脉溶栓治疗,尿激酶150万U加入生理盐水100ml,静脉滴注30min。记录两组患者溶栓治疗前、后神经缺损变化及两组患者预后情况。结果]①治疗前两组患者NIHSS评分差异无统计学意义(P﹥0.05);治疗后研究组NIHSS评分显著低于对照组,两组间数据差异有统计学意义(P﹤0.05)。②治疗28d后研究组患者显效20例(55.6%),总有效率为77.8%(28/36);对照组患者显效11例(30.6%),总有效率为69.4%(25/36)(P﹤0.05)。结论]超早期脑梗死患者选择性动脉溶栓治疗能恢复患者脑部血流灌注,阻断脑梗死的病理过程,疗效更为显著。
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| 关 键 词： | 急性脑梗死 尿激酶 溶栓疗法 |
ANALYSIS OF CURATIVE EFFECTS OF INTRA-ARTERY SELECTIVE THROMBOLYTIC THERAPY FOR 36 PATIENTS OF ACUTE ISCHEMIC CEREBRAL INFARCTION |
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| LIAO Bao-gong,LIANG Hai-ying,QIN Jun-de,et al..ANALYSIS OF CURATIVE EFFECTS OF INTRA-ARTERY SELECTIVE THROMBOLYTIC THERAPY FOR 36 PATIENTS OF ACUTE ISCHEMIC CEREBRAL INFARCTION[J].Modern Preventive Medicine,2011,38(17):3593-3594. |
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| Authors: | LIAO Bao-gong LIANG Hai-ying QIN Jun-de |
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| Institution: | LIAO Bao-gong,LIANG Hai-ying,QIN Jun-de,et al.(Department of Neurology,First Affiliated Hospital of Liuzhou Medical College,Liuzhou 545000,China) |
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| Abstract: | Objective]To explore curative effects of intra-artery selective thrombolytic therapy for 36 patients of acute ischemic cerebral infarction.Methods]36 patients of super early stage cerebral infarction were selected as research group,using intra-artery selective thrombolytic therapy,intubation urokinase 1 million U/min continuous pump,dosage 25 to 100 million units;And other 36 patients with the same age,illness,the incidence of time matching super early of acute cerebral infarction were as control group,gi... |
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| Keywords: | Acute cerebral infarction Urokinase Fibrinolytic therapy |
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