急性颈内动脉系统脑梗死的局部动脉溶栓治疗

被引：11

作者：

张永巍

刘建民

洪波

邓本强

许奕

丁素菊

机构：

[1] 上海第二军医大学长海医院神经内科

[2] 上海第二军医大学长海医院神经外科

来源：

介入放射学杂志 | 2003年 / 04期

关键词：

脑梗死; 溶栓; 尿激酶; 介入;

D O I：

暂无

中图分类号：

R743.33 [脑栓塞];

学科分类号：

1002 ;

摘要：

目的　检验局部注射尿激酶动脉溶栓治疗急性颈内动脉系统脑梗死的安全性和疗效。方法　分析 5 4例接受局部动脉溶栓治疗的颈内动脉系统急性脑梗死患者 ,其中颈内动脉主干闭塞 3例(5 .6 %) ,大脑中动脉主干及分支闭塞 46例 (85 .2 %) ,大脑前动脉闭塞 5例 (9.2 %)。结果　预后好的患者共有 41例 (75 .9%) ,血管再通程度 >5 0 %39例 (72 .2 %) ,再通程度 <5 0 %的 15例 (2 7.8%)。颅内出血率为 2 0 .4%,病死率为 7.4%。结论　局部动脉溶栓是一种有效的治疗方法 ,可以提高血管再通率 ,改善脑梗死患者的预后。

引用

页码：246 / 249

页数：4

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