论文部分内容阅读
目的探讨溶栓治疗急性脑梗死(ACI)的治疗效果与时间。方法对2005年3月至2006年3月辽宁省瓦房店市第三医院收治的44例3～6 h ACI 患者进行低剂量尿激酶(UK)静脉溶栓治疗。结果 44例患者中,12例血管完全再通,7例血管部分再通,有效率为43.1%。治疗前后神经功能缺失评分比较,差异具有显著性意义(P<0.01)。结论低剂量 UK 静脉溶栓治疗 ACI 在基层医院安全有效,但因时间窗影响疗效受限,要尽早应用,注意个体差异。
Objective To investigate the therapeutic effect and time of thrombolytic therapy on acute cerebral infarction (ACI). Methods Forty-four patients with ACI of 3 to 6 h admitted to the Third Hospital of Wafangdian City, Liaoning Province from March 2005 to March 2006 were treated with low-dose urokinase (UK) intravenous thrombolysis. Results Among the 44 patients, 12 vessels recanalized completely and 7 vessels recanalized with an effective rate of 43.1%. Before and after treatment, neurological deficit scores, the difference was significant (P <0.01). Conclusions Low-dose UK intravenous thrombolysis is safe and effective in treating primary ACI in primary hospitals. However, due to the limitation of curative effect due to time window, it is necessary to apply it as soon as possible and pay attention to individual differences.