静脉溶栓桥接动脉内取栓治疗颅内大血管急性闭塞  

Treatment of Acute Occlusion of Intracranial Macrovascular With Intravenous Thrombolytic Bridging and Intraarterial Thrombolysis

作　　者：毛铁[1] 吴春菊[2] MAO Tie;WU Chunju(Department of Cerebral Surgery,Heilongjiang Province Hospital,Harbin Heilongjiang 150036,China;Operation Room)

机构地区：[1]黑龙江省医院脑外科,黑龙江哈尔滨150036 [2]黑龙江省医院手术室,黑龙江哈尔滨150036

出　　处：《中国继续医学教育》2018年第29期88-89,共2页China Continuing Medical Education

摘　　要：目的研究静脉溶栓桥接动脉内取栓治疗颅内大血管急性闭塞的效果。方法选择我院接收的80例颅内大血管急性闭塞患者作为研究对象,全部患者应用静脉溶栓桥接动脉内取栓治疗方式,分析患者的术后并发症发生率。结果有3例患者出现了症状性出血术后并发症,1例患者出现了心源性死亡,本次实验患者的术后并发症发生率为5%。结论静脉溶栓桥接动脉内取栓治疗颅内大血管急性闭塞方式的应用,具有显著效果,且能够有效的降低患者的术后并发症发生率。Objective To study the effect of intravenous thrombolytic bridging and intraarterial thrombolysis in the treatment of acute occlusion of intracranial large vessels. Methods 80 cases of acute occlusion of intracranial large vessels received by our hospital were selected as the subjects. All the patients were treated with intravenous thrombolytic bridging and intravascular embolectomy, and the incidence of postoperative complications was analyzed. Results There were 3 patients with postoperative complications of symptomatic bleeding and 1 patients with cardiac death. The incidence of postoperative complications was 5%. Conclusion The application of intravenous thrombolytic thrombolysis to intravascular embolectomy in the treatment of acute occlusion of intracranial large vessels has signifcant efect, and can efectively reduce the incidence of postoperative complications.

关 键 词：静脉溶栓桥 接动脉内取栓 颅内大血管 急性闭塞 治疗效果 治疗方式 

分 类 号：R743[医药卫生—神经病学与精神病学]