rt-PA静脉溶栓与超选择性动脉溶栓治疗急性大脑中动脉脑
梗死临床分析
贺新霞
【期刊名称】《中国实用神经疾病杂志》 【年(卷),期】2018(021)024
【摘要】Objective To investigate the clinical effect of rt-PA intravenous thrombolysis and superselective arterial thrombolysis in the treatment of acute middle cerebral artery cerebral infarction.Methods The clinical data of 240 patients with acute middle cerebral artery cerebral infarction admitted to Gongyi People's Hospital from January 2015 to Februay 2018 were analyzed.According to the treatment, 210 patients with rt-PA intravenous thrombolysis and 30 patients with superselective arterial thrombolysis.The NIHSS score, fibrinogen (FIB), prothrombin time (PT) and thrombin time (TT) were observed at different time points in the two groups.The revascularization rate and total effective rate of the two groups were compared.Results There were no significant differences in NIHSS scores, FIB, PT and TT between the two groups before thrombolysis (P＞0.05).The super-selective arterial thrombolysis group was treated with TSH for 6 h, 3 d, 7 d, NIHSS score, PT, TT was lower than rt-PA intravenous thrombolysis group, FIB was higher than rt-PA intravenous thrombolysis group, and the recanalization rate and total effective rate of superselective arterial thrombolysis group were
rt-PA静脉溶栓与超选择性动脉溶栓治疗急性大脑中动脉脑梗死临床分析
