超选择动脉溶栓治疗急性脑梗死临床分析  

Clinical analysis of the ultraselective artery thrombolysis for acute cerebral infarction

作　　者：葛英[1] 肖佐才 胡向阳[2] 

机构地区：[1]绵阳市人民医院,四川绵阳621000 [2]绵阳市中心医院,四川绵阳621000

出　　处：《现代医药卫生》2008年第14期2072-2073,共2页Journal of Modern Medicine & Health

摘　　要：目的:观察动脉内溶栓治疗早期脑梗死的有效性和安全性。方法:应用超选择性造影技术,将微导管送至脑血管闭塞部位,将尿激酶(UK)经微导管泵入行溶栓治疗,动态观察血管再通、临床疗效及安全性。结果:经溶栓治疗颈内动脉系统血管闭塞13例、椎-基底动脉系统闭塞3例,闭塞血管再通率68.75%,并发无症状脑出血1例,经对症治疗临床治愈。结论:UK超选择动脉溶栓治疗脑梗死疗效肯定而安全,未发现严重不良反应。Objective：To analyze the efficacy and safety of the artery thrombolysis for acute earlier cerebral infarction.Methods：After selectivity opacification,the micro-catheter was sent to the position of vascular occlusion in cerebral vessels for pumping UK.The recanalization rate,curative effect and safety were observed,Results：There were 13 patients with arteria carotid internal occlusion and 3 patients with vertebraarteria basilar occlusion. The recanalization rate was 68.75% ,and coincidence symptomless apoplexy in 1 case that was healed well after symptomatic treatment Conclusion ： The artery thrombolysis for acute earlier cerebral infarction with UK was effective and safe ,without grave side effect.

关 键 词：脑梗死 尿激酶 溶栓 

分 类 号：R5[医药卫生—内科学]