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目的：探讨急性脑梗塞早期介入性溶栓治疗效果。方法：采用Seldinger技术经皮穿刺股动脉插管，将介人导管置人病变侧颈内动脉内，然后缓慢注入尿激酶或精制抗栓酶，治疗前后分别行（DSA）脑血管造影，治疗前、后2周分别行神经功能缺失评定和患者总的生活能力评定。结果：血管完全再通5例，部分再通3例，血流灌注量增加5例。基本痊愈3例（23，巨％），显著进步9例（69．2％），进步1例（7．7％）。结论：介入世溶栓治疗局部溶栓药物浓度高，血管再通率高。同时使缺血的脑组织及时得到血供，减少致残率，缩短治疗时间。
Objective: To investigate the effect of early interventional thrombolysis in acute cerebral infarction. Methods: Seldinger technique was used to percutaneously puncture the femoral artery. The interventional catheter was placed in the lesion side internal carotid artery and then slowly injected with urokinase or purified antithrombotic enzyme. Before and after treatment, DSA cerebrovascular angiography was performed. Before treatment , 2 weeks after the evaluation of neurological deficits and assessment of total living ability of patients. Results: Complete recanalization of blood vessel in 5 cases, partial recanalization in 3 cases, increased blood perfusion in 5 cases. Three cases were basically cured (23%), 9 cases (69.2%) were significantly improved and 1 case (7.7%) was improved. Conclusion: The interventional thrombolytic therapy for local thrombolytic drug concentration, high rate of recanalization. At the same time, the ischemic brain tissue can be supplied with blood in time to reduce the morbidity and shorten the treatment time.