| 超选择性动脉内溶栓治疗急性期脑梗死临床分析 |
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| 引用本文： | 晁苑翔,吕惠生,吴顶峰,李晓宁,张晨红,杨杰,王娜,李青燕,翟海燕.超选择性动脉内溶栓治疗急性期脑梗死临床分析[J].陕西医学杂志,2012,41(6):689-690. |
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| 作者姓名： | 晁苑翔 吕惠生 吴顶峰 李晓宁 张晨红 杨杰 王娜 李青燕 翟海燕 |
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| 作者单位： | 陕西省核工业二一五医院神经内二科,咸阳,712000 |
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| 基金项目： | 2010年度陕西省核工业地质局科研项目 |
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| 摘 要： | 目的:探讨脑梗死急性期超选择性动脉内溶栓的治疗效果。方法:对13例急性脑梗死患者,进行全脑血管造影术,用尿激酶进行超选择性动脉内溶栓,观察疗效及其安全性。结果:13患者颈内动脉狭窄5例,治疗后再通5例;大脑中动脉狭窄3例,治疗后再通1例;椎-基底动脉狭窄4例,治疗后再通1例;1例颅内动脉未见异常,总再通率为69.2%。临床症状明显好转或好转7例;病情加重4例;2例无明显变化。结论:选择合适的急性脑梗死患者,急诊行动脉内溶栓是一种安全有效的治疗方法,能最大限度减少临床并发症。
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| 关 键 词： | 脑梗塞/治疗 血栓溶解疗法/方法 放射学 介入性/方法 |
Clinical analysis on acute cerebral infarction treated with superselective intra-artery thrombolysis |
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| Institution: | Department of Neurology,Shaanxi Nuclear Industry 215 Hospital(Xianyang 712000) Chao Yuanxiang Lv Huisheng Wu Dingfeng et al |
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| Abstract: | Objective:To evaluate superselective intra-artery thrombolysis in treating acute cerebral infarction.Methods:13 acute cerebral infarction patients were confined to DSA,then confined to superselective intra-artery thrombolysis,evaluate the clinical efficacy and safety.Results:We have 13 patients,5 internal carotid artery occlusion,5 recanalized;3 middle cerebral artery occlusion,1 recanalized;4 vertebrobasilar arterial occlusion,1 recanalized;the overall rate of vascular recanalization was 69.2%.For the clinical symptom,7 were improved,4 were aggravated,2 were no change.Conclusion:The therapy of intra-artery thrombolysis is a effective and safe method to acute cerebral infarction.It can mostly reduce the clinical complication. |
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| Keywords: | Brain infarction/therapy Thrombolytic therapy/Methods Radiology Interventional/Methods |
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