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目的探索早期脑梗塞的有效疗法。方法选择发病6h内脑梗塞患者93例,随机分为动脉组(32例)和静脉组(61例)。除一般治疗外,静脉组予以尿激酶25万U/d静脉滴注,连续7d。动脉组经股动脉穿刺,将多孔微导管插入血栓,按1万U/min注入尿激酶,每使用25万U即测凝血指标并行血管造影,血管开通后,再注入25万U以溶解迁徙性血栓。结果两组3个月后疗效显示,动脉组有效率为87.5%,优于静脉组的60.65%(P<0.05);日常生活能力评价动脉组亦优于静脉组(P<0.05)。结论采用动脉溶栓治疗早期脑梗塞的疗效优于静脉溶栓。
Objective To explore the effective treatment of early cerebral infarction. Methods Ninety-three patients with cerebral infarction within 6h after onset were randomly divided into arterial group (32 cases) and vein group (61 cases). In addition to the general treatment, intravenous urokinase 250 000 U / d intravenous infusion, continuous 7d. Arterial puncture through the femoral artery, the porous microcatheter inserted thrombus, press urokinase 10,000 U / min, 250,000 U per use of coagulation index was measured angiography angiography, blood vessels opened, and then injected 250,000 U to dissolve migratory thrombus. Results The curative effect of the two groups after 3 months showed that the effective rate of the arterial group was 87.5%, which was superior to that of the intravenous group (60.65%, P <0.05). The daily living ability was also better in the arterial group than the intravenous group (P <0.05). Conclusion The effect of arterial thrombolysis in the treatment of early cerebral infarction is superior to intravenous thrombolysis.