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| | Objective To investigate the dosage,speed of infusion,optimal time of treatment and complications of interventional infusion of urokinase (UK) for treating acute cerebral infarction (ACI) by reviewing 11 cases.Methods The status of recanalization and patency of occluded arteries after injection of UK through selected arterial catheterization was assessed by angiography.Results The rate of recanalization was 81.8% (3 complete patency,6 partial patency and 2 failures).Clinical cure was ac... | | 目的通过对11例急性脑梗塞介入溶栓治疗分析,就药物注入剂量、速度、治疗时机及相关并发症进行讨论。方法经选择性动脉内灌注尿激酶溶栓,血管造影证实阻塞血管开通情况。结果阻塞血管完全再通3例,部分再通6例,开通率81.8%,未开通2例;临床治愈5例,显效4例,有效1例,死亡1例。结论介入性溶栓方法是治疗急性脑梗塞的一种安全有效的方法。介入溶栓时机越早越好。在限定的时间窗内,控制溶栓药注入剂量和速度的条件下,可取得比较满意的疗效,并不增加出血性并发症的发生率 | | 文摘来源 | |   |
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