TCD在大脑中动脉闭塞静脉溶栓治疗中的应用  

TCD`S APPLICATION IN THE TREAT OF MCA THROMBOSIS

作　　者：袁丰莲[1] 

机构地区：[1]临沂市人民医院脑电图室,山东临沂276001

出　　处：《牡丹江医学院学报》2007年第5期38-40,共3页Journal of Mudanjiang Medical University

摘　　要：目的:探讨TCD在大脑中动脉闭塞静脉溶栓治疗中的作用。方法:把15例急性大脑中动脉血栓形成患者随机分成治疗组(8例)和对照组(7例),治疗组给予rt-PA静脉溶栓的同时开始低强度TCD监测并且持续2h,对照组单用rt-PA,接受安慰剂检测。2组治疗后评价临床疗效。结果:治疗组临床疗效、血管再通率及出血并发症与对照组相比有显著性差异(p(0.05)。结论:超声能促进溶栓,而持续性TCD检测,它能增加rt-PA诱导动脉再通而不会增加出血风险。Objective：Study the function of TCD in dissolution of MCA thrombosis. Methods：15 cases of patients with MCA thrombosis were devided randomly into treatinent 8 cases groupand controlled group 7 cases. Treatment group were treat with rt - Paand low intensity TCD sustaining inspect. The controlled group only treated with rt -PA. Evaluete the two methods＇effect. Results：The clinic curativeeffect of treatment group was better than controlled group （p 〈 0.05 ）. While the hemorrhaage syndrome of treatment group was lowet than controlled group （ p 〈 0.05 ）. Conclusion： Sustaining low intensity wtrasonic can promote disslve thrombus and do not increase the risk of hemorrhage.

关 键 词：TCD 大脑中动脉 血栓 栓塞溶解疗法 

分 类 号：R542.22[医药卫生—心血管疾病]