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目的：观察强化超早期选择性脑动脉内溶栓术治疗急性脑梗塞的疗效。方法：术前、术后应用脑保护液I号，采用Seldinger或改良法经皮穿刺股动脉，将导管置于病变侧颈内动脉或椎动脉内，注入UK和脑保护液I号，治疗前后分别行DSA脑血管造影，术后6h用肝素强化巩固溶栓效果。在治疗前、后即刻、24h、7天、14天分别作神经功能缺损评定。结果：总血管再通率100％，治愈率即刻51．6％，24h、83．9％，7天90．3％，总有效率为100％。结论：本技术能显著降低脑缺血、再灌注后脑损伤、溶通后再闭塞和术后脑出血等并发症。
Objective: To observe the effect of intensive ultra-early selective intracerebral thrombolysis on acute cerebral infarction. Methods: Preoperative and postoperative brain protective solution I, using Seldinger or modified percutaneous femoral artery, the catheter placed in the lesion side internal carotid artery or vertebral artery, UK and brain protection solution I was injected before and after treatment DSA cerebrovascular angiography were performed respectively, and the effect of thrombolysis was reinforced by heparin after 6 hours. Before treatment, immediately after, 24h, 7 days, 14 days were assessed for neurological deficit. Results: The total recanalization rate was 100%, the cure rate was 51.6%, 24h, 83.9%, 7 days 90.3%, the total effective rate was 100%. Conclusion: This technique can significantly reduce the cerebral ischemia, cerebral injury after reperfusion, reperfusion occlusion and postoperative cerebral hemorrhage and other complications.