尿激酶静脉溶栓治疗急性缺血性脑血管病31例临床分析

目的 探讨尿激酶治疗急性缺血性脑血管病的溶栓效果及安全性。方法 将31例急性缺血性脑血管病分为重型17例，中型14例，所有病人均于发病6小时内给予尿激酶100万U＋生理盐水100ml于30分钟内静脉滴入维持治疗5天。结果 尿激酶静脉溶栓总有效率为71％，其中重型17例，有效率52．9％；中型14例，有效率92．9％。中型病人疗效明显优于重型病人（P＜0．05）。1例病人出现颅内出血。结论 尿激酶静脉溶栓治疗急性缺血性脑血管病对于中型病人效果满意，对于重型病人效果差。

Treament of acute ischemic cerebral vascular disease with urokinase intravenous dissolving blood-cork

Objective To study the curative effect of urokinase in the treatment of acute ischemic cerebral vascular disease.Methods 31 patients suffering from acute ischemic cerebeal vascular disease were divided into two groups 17 in the serious group and 14 in the moderate group.All the patients were treated within 6 hours by giving urokinase:1000000U+100ml physiological salt water intravenously for 5 days.Results The total efficiency of the treatment is 71%,52.9% in the serious group and 92.9% in the moderate group ( P <0.05).One case in the serious group had hemorrhage inside his head.Conclusion The trestment is effective on moderate patients but less effective on serious ones including those suffering from early damaged nerves.