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时间:2020-03-21
《动脉内接触性溶栓及机械碎栓治疗急性脑梗死效果观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、·26·解放军医药杂志2014年9月第26卷第9期Med&PharmJChinPLA,Vol。26,No.9,Sep.2014·论著·动脉内接触性溶栓及机械碎栓治疗急性脑梗死效果观察杜彦龙,魏爱英,王国芳,朱青峰[摘要]目的观察超选择性动脉内接触性溶栓及机械碎栓治疗急性脑梗死临床效果。方法对2006年1月一20l4年1月收治的时间窗内急性脑梗死28例给予超选择性动脉内接触性溶栓及机械碎栓,同时给予扩容、抗血小板等治疗,评价治疗后即刻血管再通率、术后1h、2周、3个月美国国立卫生研究院脑卒中量表(NIHSS)、日常活动量表(ADL)评分情况。结果本组动脉内接触性溶栓后即刻血管完全再通率为
2、75%,部分再通率为25%,4例血管再通后残留狭窄>80%,给予支架置入术;除1例死于中枢性呼吸衰竭外,其余27例术后1h、2周、3个月NIHSS、ADL评分较治疗前改善(P<0.05)。结论动脉内接触性溶栓结合机械碎栓治疗时间窗内急性脑梗死安全、有效。[关键词]脑梗死;机械溶栓;尿激酶[中国图书资料分类号]R743.33[文献标志码]A[文章编号]2095—140X(2014)09—0026-04[DoI]10.3969/j.issn.2095—140X.2014.09.007EffectofIntra-arterialThrombolysisCombinedwithMechanic
3、alThrombectomyinTreatmentofPatientswithAcuteCerebralInfarctionDUYan—long,WEIAi—ying2,WANGGuo—fang,ZHUQing—feng(1.GraduateSchoolofShanxiMedicalUniversity,Taiyuan030001,China;2.DepartmentofNeurosurgery,264HospitalofPLA,Taiyuan030001,China)[Abstract]0bjectiveToobservetheclinicaleffectofsuperselecti
4、veintra-arterialthrombolysiscombinedwithmechanicalthrombectomyintreatmentofacutecerebralinfarction.MethodsAtotalof28patientswithacutecerebralinfarctionduringJanuary2006andJanuary2014underwentsuperselectiveintra·-arterialthrombolysiscombinedwithme-chanicalthrombectomytreatment,andtheconventionalt
5、reatmentssuchasexpansionandantiplatelettreatmentsweregiv—enatthesametime.Theimmediatelypostsurgicalrevascularizationrate,andthescoresoftheNationalInstitutesofHealthstrokescale(NIHSS)andactivityofdailyliving(ADL)on1h,2weeksand3monthsafterthetreatmentwereevaluated.ResultsAfterthetreatment,thecompl
6、etereeanalizationratewas75%,andpartialrecanalizationwas25%,theresidualstenosiswasmorethan80%in4patientsafterrecanalization,andstentinginsertionwasperformedatthesametime:thescoresofNIHSSandADLon1h,2weeksand3monthsaftertheoperationinthe27patientswereim—proved(P<0.05),except1patientwhodiedofcentral
7、respiratoryfailure.ConclusionTheintra—arterialthrombolysiscombinedwithmechanicalthrombectomyintreatmentofacutecerebralinfarctionissafeandeffective.[Keywords]Braininfarction;Mechanicalthrombolysis;Urokinase急性脑梗死发病率、致残率和致死率较高¨
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