CAJ | 학술논문

目的：探讨急性缺血性脑卒中动脉溶栓血管再通后脑水肿的临床研究，旨在为此类疾病患者的下一步临床工作提供借鉴。方法选择通过动脉溶栓血管再通的患者40例。将患者分为1~3 h组(A组)、>3~6h组(B组)。头颅CT监测、随访脑水肿情况。记录溶栓前、术后1周及1年NIHSS评分、MRS评分及BI指数。结果动脉溶栓血管再通后脑水肿发生率为100％，随访发现脑水肿局部有明显软化灶。两组患者脑水肿及临床结局比较差异无统计学意义(P>0.05)。结论动脉溶栓血管再通后脑水肿的及其脑组织缺失发生率极高，脑水肿局部有明显软化灶，良好的脑内局部循环和全身状况是改善此类脑水肿的重要因素。
목적：탐토급성결혈성뇌졸중동맥용전혈관재통후뇌수종적림상연구，지재위차류질병환자적하일보림상공작제공차감。방법선택통과동맥용전혈관재통적환자40례。장환자분위1~3 h조(A조)、>3~6h조(B조)。두로CT감측、수방뇌수종정황。기록용전전、술후1주급1년NIHSS평분、MRS평분급BI지수。결과동맥용전혈관재통후뇌수종발생솔위100％，수방발현뇌수종국부유명현연화조。량조환자뇌수종급림상결국비교차이무통계학의의(P>0.05)。결론동맥용전혈관재통후뇌수종적급기뇌조직결실발생솔겁고，뇌수종국부유명현연화조，량호적뇌내국부순배화전신상황시개선차류뇌수종적중요인소。
Objective To investigate the acute arterial ischemic stroke thrombolytic recanalization clinical studies of cerebral edema, designed to provide a reference for the next clinical disease in these patients.Methods arterial thrombolysis recanalization by 40 patients. Patients were divided into 1 ~ 3h group (A),> 3 ~ 6h group (group B). Cranial CT monitoring, follow-up of brain edema. Recorded before thrombolysis, after 1 week and 1 year NIHSS score, MRS score and BI index.Results arterial thrombolysis recanalization rate was 97.5% of cerebral edema, cerebral edema partial follow-up found a significant malacia. Two groups of patients and clinical outcomes of cerebral edema was no significant difference (P> 0.05).Conclusion The arterial thrombolysis recanalization of cerebral edema and high incidence of brain tissue loss, good local circulation in the brain and body condition is such an important factor in improving brain edema.