不同时段选择性动脉溶栓治疗急性脑梗死的临床研究  

Stady on Selective Intra-arterial Thrombolytic Therapy of Different Time Course in Patients with Acute Cerebral Infarction

作　　者：张嘉伟[1] 郑继红[1] 刘佳俊[1] 

机构地区：[1]齐齐哈尔医学院第一附属医院神经内科,161041

出　　处：《齐齐哈尔医学院学报》2001年第8期847-849,共3页Journal of Qiqihar Medical University

摘　　要：目的　探讨病程超过 6小时的脑梗死动脉溶栓治疗的可行性。方法　 44例脑梗死患者按病程分为A组 (病程≤ 6h)和B组 (病程 6～ 2 4h) ,两组均接受选择性动脉溶栓治疗。结果　对两组间的血管再通率、治疗前后神经功能缺损积分差值、病后 90天的巴氏指数、出血转化率和溶栓治疗中发生血管再通的时间进行比较 ,均无显著性差异。结论　部分脑梗死患者选择性动脉溶栓治疗时间窗可以延长至 6小时以后 。Objective To investigate the practicability in patients with acute cerebral infarction after 6 hours of stroke onset who received intra-arterial thrombolytic therapy.Methods 44 cases were divided into two groups(A and B)according to course of time within 6 hours and from 6 to 24 hours of stroke onset for received intra-arterial thombolytic therapy.Results There were no significant differences in recanalization rate,clinical outcome,cerebral hemorrhage inciednce and reperfusive time of occluded artery between A and B.Conclutions Part of the cases with cerebral infarction after 6 hours of stroke onset can benefit from intra-arterial thrombolytic therapy?

关 键 词：脑梗死 动脉溶栓 治疗时间窗 

分 类 号：R743.330.5[医药卫生—神经病学与精神病学]