静脉溶栓桥接动脉内取栓治疗颅内大血管急性闭塞
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摘要
目的研究静脉溶栓桥接动脉内取栓治疗颅内大血管急性闭塞的效果。方法选择我院接收的80例颅内大血管急性闭塞患者作为研究对象,全部患者应用静脉溶栓桥接动脉内取栓治疗方式,分析患者的术后并发症发生率。结果有3例患者出现了症状性出血术后并发症,1例患者出现了心源性死亡,本次实验患者的术后并发症发生率为5%。结论静脉溶栓桥接动脉内取栓治疗颅内大血管急性闭塞方式的应用,具有显著效果,且能够有效的降低患者的术后并发症发生率。
Objective To study the effect of intravenous thrombolytic bridging and intraarterial thrombolysis in the treatment of acute occlusion of intracranial large vessels. Methods 80 cases of acute occlusion of intracranial large vessels received by our hospital were selected as the subjects. All the patients were treated with intravenous thrombolytic bridging and intravascular embolectomy, and the incidence of postoperative complications was analyzed. Results There were 3 patients with postoperative complications of symptomatic bleeding and 1 patients with cardiac death. The incidence of postoperative complications was 5%. Conclusion The application of intravenous thrombolytic thrombolysis to intravascular embolectomy in the treatment of acute occlusion of intracranial large vessels has significant effect, and can effectively reduce the incidence of postoperative complications.
Objective To study the effect of intravenous thrombolytic bridging and intraarterial thrombolysis in the treatment of acute occlusion of intracranial large vessels. Methods 80 cases of acute occlusion of intracranial large vessels received by our hospital were selected as the subjects. All the patients were treated with intravenous thrombolytic bridging and intravascular embolectomy, and the incidence of postoperative complications was analyzed. Results There were 3 patients with postoperative complications of symptomatic bleeding and 1 patients with cardiac death. The incidence of postoperative complications was 5%. Conclusion The application of intravenous thrombolytic thrombolysis to intravascular embolectomy in the treatment of acute occlusion of intracranial large vessels has significant effect, and can effectively reduce the incidence of postoperative complications.
引文
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[10]谢海庭,李忠丽,孙海涛,等.急性大面积脑梗死新治疗方案的应用[J].广东医学,2015,36(8):1178-1181.
[11]李瑞军.动脉溶栓介入治疗老年急性颈内动脉系统脑梗死临床观察[J].中国现代药物应用,2015,9(8):137-138.
[12]李丽.脑梗死静脉溶栓治疗后出血性转化及其预后的危险因素分析[J].中西医结合心脑血管病杂志,2015,13(6):837-839.
[13]李刚,李宏宇.支架取栓术对急性基底动脉闭塞取栓效果和神经功能评分研究[J].中国继续医学教育,2017,9(23):78-79.
[2]武春艳.老年急性脑梗死采用动静脉溶栓治疗临床效果观察[J].医学信息,2014,27(8):347-348.
[3]张兆,张千,李先锋,等.超选择性动脉溶栓和静脉溶栓治疗老年急性脑梗死的临床研究[J].内科,2014,9(4):383-385.
[4]冼文川,朱育昌,张惠婷,等.缺血性脑卒中患者静脉溶栓后出血性转化[J].中国老年学杂志,2015,35(1):110-111.
[5]吴植彬,黄彩森,李统干,等.颈动脉溶栓治疗急性脑梗死80例临床观察[J].医学文选,2014,25(3):416-418.
[6]张丽,陈圣攀.新型血流导向装置Pipeline治疗颅内动脉瘤的护理[J].上海护理,2016,16(2):52-54.
[7]卓严光.脑梗死介入溶栓治疗的疗效及安全性分析[J].中国实用神经疾病杂志,2016,19(3):112-113.
[8]董丽,张敏,王慧,等.Solitaire支架联合Neuro导管治疗颅内大动脉急性闭塞的术中护理[J].全科护理,2016,14(19):2005-2007.
[9]陈常胜,王秀春,孙业全,等.动脉溶栓介入治疗急性脑梗死的临床研究[J].疑难病杂志,2007,6(6):339-341.
[10]谢海庭,李忠丽,孙海涛,等.急性大面积脑梗死新治疗方案的应用[J].广东医学,2015,36(8):1178-1181.
[11]李瑞军.动脉溶栓介入治疗老年急性颈内动脉系统脑梗死临床观察[J].中国现代药物应用,2015,9(8):137-138.
[12]李丽.脑梗死静脉溶栓治疗后出血性转化及其预后的危险因素分析[J].中西医结合心脑血管病杂志,2015,13(6):837-839.
[13]李刚,李宏宇.支架取栓术对急性基底动脉闭塞取栓效果和神经功能评分研究[J].中国继续医学教育,2017,9(23):78-79.