急性脑梗死动脉溶栓血管再通后的脑水肿临床研究  

Clinical Studies of Cerebral Edema Recanalization After Thrombolysis in Acute Cerebral Infarction

作　　者：王喜春[1] 马冲[2] 张健莉[1] 于杰[1] 

机构地区：[1]黑龙江省医院老年神经内科,黑龙江哈尔滨150036 [2]黑龙江省医院南岗分院心内科,黑龙江哈尔滨150036

出　　处：《中外医疗》2015年第9期63-64,共2页China & Foreign Medical Treatment

摘　　要：目的探讨急性缺血性脑卒中动脉溶栓血管再通后脑水肿的临床研究,旨在为此类疾病患者的下一步临床工作提供借鉴。方法选择通过动脉溶栓血管再通的患者40例。将患者分为1~3 h组（A组）、〉3~6 h组（B组）。头颅CT监测、随访脑水肿情况。记录溶栓前、术后1周及1年NIHSS评分、MRS评分及BI指数。结果动脉溶栓血管再通后脑水肿发生率为100%,随访发现脑水肿局部有明显软化灶。两组患者脑水肿及临床结局比较差异无统计学意义（P〉0.05）。结论动脉溶栓血管再通后脑水肿的及其脑组织缺失发生率极高,脑水肿局部有明显软化灶,良好的脑内局部循环和全身状况是改善此类脑水肿的重要因素。Objective To investigate the acute arterial ischemic stroke thrombolytic recanalization clinical studies of cerebral edema, designed to provide a reference for the next clinical disease in these patients.Methods arterial thrombolysis recanalization by 40 patients. Patients were divided into 1 ~ 3h group （A）,〉 3 ~ 6h group （group B）. Cranial CT monitoring, follow-up of brain edema. Recorded before thrombolysis, after 1 week and 1 year NIHSS score, MRS score and BI index.Results arterial thrombolysis recanalization rate was 97.5% of cerebral edema, cerebral edema partial follow-up found a significant malacia. Two groups of patients and clinical outcomes of cerebral edema was no significant difference （P〉 0.05）.Conclusion The arterial thrombolysis recanalization of cerebral edema and high incidence of brain tissue loss, good local circulation in the brain and body condition is such an important factor in improving brain edema.

关 键 词：脑梗死 动脉溶栓术 脑水肿 头部 体层摄影术 X线计算机 

分 类 号：R743.33[医药卫生—神经病学与精神病学]