急性缺血性卒中血管再通治疗的时间窗和病例选择

被引:6
作者
涂雪松
机构
[1] 北京脑血管病医院
关键词
溶栓; 血管再通术; 出血性转化; 并发症; 脑灌注; 侧支循环;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
摘要
再通闭塞血管和建立側支循环是治疗急性缺血性卒中的有效方法。在血管再通治疗过程中不可避免地会引起并发症,有效地降低并发症是神经外科亟待解决的主要问题。治疗时间和治疗对象是影响血管再通治疗并发症高低的两项重要因素。只有严格遵守治疗时间窗和严格选择病例,才能最大限度地降低血管再通治疗的并发症。与单纯时间窗相比,按组织时间窗进行血管再通治疗更有利于减少并发症的发生和提高成功率。另外,应评估出血性转化(HT)的危险因素,根据影像学检查确定狭窄段血管解剖特点、脑灌注和側支循环改变,是病例选择的重要依据。
引用
收藏
页码:275 / 280
页数:6
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