中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
23期
27-28
,共2页
急性闭塞性脑梗死%介入溶栓%临床效果
急性閉塞性腦梗死%介入溶栓%臨床效果
급성폐새성뇌경사%개입용전%림상효과
Acute occlusion of cerebral infarction%Interventional thrombolysis%Clinical effect
目的 探讨介入溶栓术治疗急性闭塞性脑梗死疾病的效果以及预后. 方法 选择2011年5月至2014年7月于濮阳市人民医院接受急性闭塞性脑梗死治疗的患者43例,对其实施介入溶栓治疗,回顾性分析其临床资料. 结果 43例患者中25例患者发病时间<3 h,治疗有效23例,有效率为92%;18例患者发病时间为3~6 h,治疗有效11例,有效率为61.11%. 发病<3 h患者的治疗有效率明显优于发病时间为3~6 h患者. 43例患者中颅内出血7例,其中2例死亡;4例脑出血患者中3例伴随高血压症状,1例伴随糖尿病,4例脑出血患者表现为脑水肿,对症治疗后好转;2例脑水肿症状严重,已形成脑疝,治疗好转后出现栓塞,治疗无效死亡. 结论 急性闭塞性脑梗死患者实施介入溶栓治疗方式,患者的发病时间越短,其治疗效果越好. 严格按照手术适应证实施可有效降低患者出现并发症的风险.
目的 探討介入溶栓術治療急性閉塞性腦梗死疾病的效果以及預後. 方法 選擇2011年5月至2014年7月于濮暘市人民醫院接受急性閉塞性腦梗死治療的患者43例,對其實施介入溶栓治療,迴顧性分析其臨床資料. 結果 43例患者中25例患者髮病時間<3 h,治療有效23例,有效率為92%;18例患者髮病時間為3~6 h,治療有效11例,有效率為61.11%. 髮病<3 h患者的治療有效率明顯優于髮病時間為3~6 h患者. 43例患者中顱內齣血7例,其中2例死亡;4例腦齣血患者中3例伴隨高血壓癥狀,1例伴隨糖尿病,4例腦齣血患者錶現為腦水腫,對癥治療後好轉;2例腦水腫癥狀嚴重,已形成腦疝,治療好轉後齣現栓塞,治療無效死亡. 結論 急性閉塞性腦梗死患者實施介入溶栓治療方式,患者的髮病時間越短,其治療效果越好. 嚴格按照手術適應證實施可有效降低患者齣現併髮癥的風險.
목적 탐토개입용전술치료급성폐새성뇌경사질병적효과이급예후. 방법 선택2011년5월지2014년7월우복양시인민의원접수급성폐새성뇌경사치료적환자43례,대기실시개입용전치료,회고성분석기림상자료. 결과 43례환자중25례환자발병시간<3 h,치료유효23례,유효솔위92%;18례환자발병시간위3~6 h,치료유효11례,유효솔위61.11%. 발병<3 h환자적치료유효솔명현우우발병시간위3~6 h환자. 43례환자중로내출혈7례,기중2례사망;4례뇌출혈환자중3례반수고혈압증상,1례반수당뇨병,4례뇌출혈환자표현위뇌수종,대증치료후호전;2례뇌수종증상엄중,이형성뇌산,치료호전후출현전새,치료무효사망. 결론 급성폐새성뇌경사환자실시개입용전치료방식,환자적발병시간월단,기치료효과월호. 엄격안조수술괄응증실시가유효강저환자출현병발증적풍험.
Objective To investigate the effect and prognosis of interventional thrombolysis in treatment of acute cerebral infarction .Methods Forty-three patients with acute occlusive infarction from May 2011 to July 2014 were selected , they all received interventional thrombolysis , the clinical data were retrospectively analyzed .Results Among the 43 patients, 25 patients had onset <3 h, and 23 cases with effective treatment , the effective rate was 92%;there were 18 patients onset time of 3 to 6 h, and 11 cases with effective treatment , the effective rate was 61.11%.The effective rate of onset <3 h treatment of pa-tients was better than the onset time of 3 to 6 h patients.Among the 43 patients, seven patients with in-tracranial hemorrhage , 2 cases died; Among the 4 cases of cerebral hemorrhage , 3 cases complicated with high blood pressure , 1 case complicated with diabetes , the clinical symptoms of the 4 cases were cerebral ede-ma, and they got better after symptomatic treatment .Two cases with severe symptoms of cerebral edema , had formed hernia, they died because of embolism after treatment .Conclusions For interventional thrombolysis in treatment of patients with acute cerebral occlusive , the incidence of patients is shorter , the effect is better . Accordance with the indications for surgery strictly can effectively reduce the risk of complications .
