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急性缺血性脑梗死的溶栓治疗
引用本文:佟志勇,潘海,臧培卓,梁传声,王运杰.急性缺血性脑梗死的溶栓治疗[J].中国医科大学学报,2004,33(3):236-237.
作者姓名:佟志勇  潘海  臧培卓  梁传声  王运杰
作者单位:1. 中国医科大学附属第一医院神经外科,辽宁,沈阳,110001
2. 沈阳医学院中心医院神经外科
摘    要:目的:评价缺血性脑梗死急性期溶栓治疗的疗效,促进缺血半暗带理论在临床实践中应用.方法:12例急性缺血性脑梗死患者,病程为2.5~8 h.行脑血管造影明确栓塞血管及部位.用重组组织纤维蛋白溶酶原激活剂行动脉接触性或静脉溶栓.第3周末判定疗效.结果:基本痊愈6例,显著进步4例,无变化1例,死于急性心肌梗死1例.结论:急性缺血性脑梗塞的溶栓治疗是一种安全有效的方法,可明显改善患者的生存质量.

关 键 词:急性缺血性脑梗死  溶栓
文章编号:0258-4646(2004)03-0236-02
修稿时间:2003年12月16

Thrombolysis for acute ischemic cerebral infarction
TONG Zhi yong ,PAN Hai ,ZANG Pei zhuo ,LIANG Chuan sheng ,WANG Yun jie.Thrombolysis for acute ischemic cerebral infarction[J].Journal of China Medical University,2004,33(3):236-237.
Authors:TONG Zhi yong  PAN Hai  ZANG Pei zhuo  LIANG Chuan sheng  WANG Yun jie
Affiliation:TONG Zhi yong 1,PAN Hai 2,ZANG Pei zhuo 1,LIANG Chuan sheng 1,WANG Yun jie 1
Abstract:Objective: To evaluate the clinic effects of thrombolysis for acute ischemic cerebral infarction. Methods:Twelve patients were treated with thrombolysis using recombinant tissue plasminogen activator (rt PA). The time from onset to treatment was 2.5 to 8 hours. Ten patients were treated with intra arterial thrombolysis and 2 with intra venous thrombolysis. Results:Ten patients had good outcome. One patient had no change. One patient died of acute myocardial infarction. Conclusion:Thrombolysis is a safe and effective therapeutic method for acute ischemic cerebral infarction.
Keywords:acute ischemic cerebral infarction  thrombolysis
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