急诊颈动脉内膜切除术治疗颈内动脉血栓形成闭塞性脑卒中

目的探讨应用急诊颈动脉内膜切除术方法治疗颈内动脉血栓形成闭塞性脑卒中的可行性方法。方法对2例急性颈内动脉血栓形成闭塞性脑卒中患者，采用全身麻醉下急性颈内动脉切开、血栓取出、颈动脉内膜切除及血管成形术。结果2例患者脑缺血症状均得到明显改善，1例完全康复，1例生活自理。随访1—9个月未见血栓形成及血管再狭窄。结论急诊颈动脉内膜切除术治疗颈内动脉血栓形成闭塞性脑卒中的方法是安全可行的。

Emergency Carotid Endarterectomy Remedy for Acute Strok Induced by Internal Carotid Artery Thrombosis

Objective To evaluate the feasibility and efficacy of emergency carotid endarterectomy in acute stroke induced by internal carotid artery thrombosis.Methods Two patients with acute stroke with internal carotid artery thrombosis were treated with internal carotid artery incision,thrombous extraction,carotid endarterectomy and angioplasty.Results The cerebral ischemia symptoms of patients were obviously improved.One patient showed complete rehabilitation,another patient could take self-care.No thrombosis and restenosis in internal carotid artery were formed during one to nine month follow-up.Conclusions Emergency carotid endarterectomy in acute stroke with thrombosis occlusion in internal carotid artery is safe and feasible.