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机械碎栓联合颅内动脉注射尿激酶、罂粟碱治疗急性脑血管闭塞的疗效观察

朱青峰 王国芳 王千 边世春

中国当代医药2009,Vol.16Issue(12):9-11,3.
中国当代医药2009,Vol.16Issue(12):9-11,3.

机械碎栓联合颅内动脉注射尿激酶、罂粟碱治疗急性脑血管闭塞的疗效观察

Superselective intracranial arterial thrombolysis and mechanical fragmentation in patients with acute cerebral artery occlusion

朱青峰 1王国芳 1王千 1边世春1

作者信息

  • 1. 解放军第二六四医院神经外科,山西太原,030001
  • 折叠

摘要

Abstract

Objective: To analysis the clinical result and safety of treating acute cerebral artery occlusion with superselectire intracranial arterial thrombolysis by urokinase and papaverine and mechanical fragmentation by microcatheter and micro-guid wire. Methods: 8 patients of acute cerebral artery occlusion were treated by superselective intracranial arterial thrombolysis and mechanical fragmentation near five months. Results: Main thrombotic arteries in 8 cases were all recanal izated, the clinical symptoms were improved after therapy, the scals after 1 hour, 1 week and 2 week of the NIHSS and ADL were progresser than that of the before therapy. 1 case's symptom and signs with cerebral artery stenosis was progressed after therapy, but dead after 5 days for central respiratory failure after therapy. Conclusion: Superselective intracranial arterial thrombolysis by urokinase and papaverine and mechanical fragmentation by microcatheter and micro-guide wire in patients to acute cerebral artery occlusion is a safe and an effective and interventional therapy within the right time.

关键词

机械碎栓/脑血管闭塞/动脉溶栓

Key words

Mechanical fragmentation/Cerebral artery occlusion/Intra-arterial fibrinolysis

分类

医药卫生

引用本文复制引用

朱青峰,王国芳,王千,边世春..机械碎栓联合颅内动脉注射尿激酶、罂粟碱治疗急性脑血管闭塞的疗效观察[J].中国当代医药,2009,16(12):9-11,3.

中国当代医药

1674-4721

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