| 院前急救与急诊介入一体化治疗急性脑梗死的临床研究 |
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| 引用本文： | 刘顶成,吕传柱,王伟锋,钟文洲,张明,曾骞,符小玲,曾祥妍. 院前急救与急诊介入一体化治疗急性脑梗死的临床研究[J]. 临床急诊杂志, 2011, 12(3): 155-157 |
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| 作者姓名： | 刘顶成 吕传柱 王伟锋 钟文洲 张明 曾骞 符小玲 曾祥妍 |
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| 作者单位： | 1. 中南大学湘雅医学院附属海口医院周围血管介入科,海口,570208
2. 海南省人民医院 |
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| 摘 要： | 目的:观察院前急救与急诊脑动脉内溶栓一体化治疗急性脑梗死的临床疗效,探讨急性脑梗死临床治疗的新模式.方法:采用院前急救与急诊脑动脉内溶栓一体化的治疗模式治疗57例急性脑梗死患者,观察脑血管再通率和患者生存率,采取欧洲卒中量表(ESS)及,Barthel指数(BI),评价患者神经功能的恢复情况.结果:在超早期时间窗内接受溶栓治疗率达91.2%,在3 h、6 h、12 h内接受溶栓治疗的再通率分别为:96.7%、85.7%、60.0%;病死率分别是:0%、4.76%、20.00%;致残率及接近治愈-完全恢复率:0%、9.5%、20.0%;近完全恢复率为:96.8%、85.7%、60.0%.结论:院前急救与急诊脑动脉内溶栓一体化的治疗模式显著缩短了治疗流程,提高了脑血管再通率和神经功能恢复率,值得在临床推广应用.
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| 关 键 词： | 急性脑梗死 院前急救 介入动脉内溶栓 一体化治疗 |
Clinical study of integration therapy of pre-hospital care and emergency intervention for acute cerebral infarction |
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| LIU Dingcheng,LV Chuanzhu,WANG Weifeng,ZHONG Wenzhou,ZHANG Ming,ZENG Qian,FU Xiaoling,ZENG Xiangyan. Clinical study of integration therapy of pre-hospital care and emergency intervention for acute cerebral infarction[J]. Journal of Clinical Emergency Call, 2011, 12(3): 155-157 |
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| Authors: | LIU Dingcheng LV Chuanzhu WANG Weifeng ZHONG Wenzhou ZHANG Ming ZENG Qian FU Xiaoling ZENG Xiangyan |
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| Affiliation: | LIU Dingcheng1 LV Chuanzhu2 WANG Weifeng1 ZHONG Wenzhou1 ZHANG Ming1 ZENG Qian1 FU Xiaoling1 ZENG Xiangyan1(1Invasive Technology Department of Haikou Hospital,Xiangya Medical Colloge,Central South University,Haikou,570208,China,2The People's Hospital of Hainan Province) |
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| Abstract: | Objective:To investigate the efficacy and feasibility of integration therapy of pre-hospital care and emergency intervention for acute cerebral infarction treatment.Method:Fifty-seven patients were treated by integration therapy model of emergency intervention and pre-hospital care.Europe stroke scales(ESS) and Barthel Index(BI) were used to evaluate the recovery of neurological function.Result:91.2% patients received thrombolytic therapy within the ultra early time window.The complete recanalization rate w... |
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| Keywords: | acute cerebral infarction pre-hospital care emergency intervention thrombolytic by artery integration thrapy |
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