中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
1期
74-75
,共2页
急性闭塞性脑梗塞%介入溶栓%临床分析
急性閉塞性腦梗塞%介入溶栓%臨床分析
급성폐새성뇌경새%개입용전%림상분석
Acute cerebral infarction%Interventional thrombolytic therapy%clinical analysis
目的:通过介入溶栓治疗急性闭塞性脑梗塞,观察临床效果、预后.方法:选取我院2009年~2011年间收治急性闭塞性脑梗塞患者44例,均经介入溶栓治疗.结果:发病<3h患者26例,总有效率为92.31%;(3~6)h患者18例,总有效率为55.56%,治疗前后NIHSS对比发病<3h患者治疗后,效果明显优于(3~6)h患者,出现7例颅内出血患者,为大脑中动脉闭塞,均为无症状脑出血,死亡2例.5例脑出血患者伴随高血压4例,糖尿病1例,均表现为脑水肿,积极对症脱脑水肿治疗后好转.2例脑水肿严重,形成脑疝,治疗后出现再栓塞,治疗无效死亡.结论:急性闭塞性脑梗塞运用介入溶栓治疗,发病时间越短疗效越好,更有利于观察闭塞和再通情况,且见效快、疗效好,只要是严格按照手术适应症进行,可以有效降低并发症风险.
目的:通過介入溶栓治療急性閉塞性腦梗塞,觀察臨床效果、預後.方法:選取我院2009年~2011年間收治急性閉塞性腦梗塞患者44例,均經介入溶栓治療.結果:髮病<3h患者26例,總有效率為92.31%;(3~6)h患者18例,總有效率為55.56%,治療前後NIHSS對比髮病<3h患者治療後,效果明顯優于(3~6)h患者,齣現7例顱內齣血患者,為大腦中動脈閉塞,均為無癥狀腦齣血,死亡2例.5例腦齣血患者伴隨高血壓4例,糖尿病1例,均錶現為腦水腫,積極對癥脫腦水腫治療後好轉.2例腦水腫嚴重,形成腦疝,治療後齣現再栓塞,治療無效死亡.結論:急性閉塞性腦梗塞運用介入溶栓治療,髮病時間越短療效越好,更有利于觀察閉塞和再通情況,且見效快、療效好,隻要是嚴格按照手術適應癥進行,可以有效降低併髮癥風險.
목적:통과개입용전치료급성폐새성뇌경새,관찰림상효과、예후.방법:선취아원2009년~2011년간수치급성폐새성뇌경새환자44례,균경개입용전치료.결과:발병<3h환자26례,총유효솔위92.31%;(3~6)h환자18례,총유효솔위55.56%,치료전후NIHSS대비발병<3h환자치료후,효과명현우우(3~6)h환자,출현7례로내출혈환자,위대뇌중동맥폐새,균위무증상뇌출혈,사망2례.5례뇌출혈환자반수고혈압4례,당뇨병1례,균표현위뇌수종,적겁대증탈뇌수종치료후호전.2례뇌수종엄중,형성뇌산,치료후출현재전새,치료무효사망.결론:급성폐새성뇌경새운용개입용전치료,발병시간월단료효월호,경유리우관찰폐새화재통정황,차견효쾌、료효호,지요시엄격안조수술괄응증진행,가이유효강저병발증풍험.
Objective:Through the interventional thrombolytic treatment for acute occlusion of cerebral infarction, the clinical effect was observed,prognosis.Methods:Selection of our hospital from 2009 to 2011 acute cerebral infarction patients treated44 patients, were treated by interventional therapy.Results:Incidence of <26 3H patients, the total effective rate was 92.31%;18 cases were the patients with (3~6)h, the total efficiency of 55.56%, before and after treatment with NIHSS comparative onset <3H patients after treatment, effect is obviously superior to those of (3~6)h patients,7 cases with intracranial hemorrhage, for middle cerebral artery occlusion, were asymptomatic cerebral hemorrhage,2 cases of death.In 5 patients with cerebral hemorrhage with hypertension in 4 cases,1 cases of diabetes mellitus, showed brain edema, brain edema positive symptomatic and recovered after the treatment of.In 2 patients with cerebral edema in severe cerebral hernia after treatment, form, and embolization, therapeutic and death.Conclusion:Acute cerebral infarction by interventional thrombolytic therapy, onset time shorter the better curative effect, more conducive to the observation of occlusion and recanalization, and fast effect, good curative effect, as long as it is in strict accordance with the operation indications, can effectively reduce the risk of complications.
