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目的探讨急性脑梗塞的早期溶栓疗效。②方法随机设置对照组与治疗组，对照组用甘露醇、低分子右旋糖酐、钙离子拮抗剂等常规治疗；治疗组在常规治疗基础上，加用尿激酶（ＵＫ）１５０～４００万单位静脉滴注溶栓治疗，部分病人溶栓治疗后加用肝素（总量２００ｍｇ）抗凝治疗４８ｈ，治疗前后行ＥＳＳ评分，比较溶栓的疗效及并发症，找出最佳ＵＫ剂量。③结果治疗组与对照组治疗２ｈ后ＥＳＳ评分、治愈率、病死率比较，差异均有显著性（ｔ＝３．３９，χ２＝１３．０８，５．６３，Ｐ＜０．０５，０．０１）。④结论急性脑梗塞早期溶栓治疗有效
Objective To investigate the early thrombolytic effect of acute cerebral infarction. Methods The control group and the treatment group were randomly divided into two groups. The control group was given routine treatment with mannitol, low molecular weight dextran and calcium antagonist. The treatment group was treated with urokinase (UK) Note thrombolytic therapy, some patients after thrombolysis plus heparin (total 200mg) anticoagulant therapy 48h, ESS score before and after treatment, compared the efficacy and complications of thrombolysis to find the best UK dose. Results The ESS score, cure rate and mortality of treatment group and control group after 2h treatment were significantly different (t = 3.39, χ2 = 13.08, 5.63, P <0.05,0). 01). ④ Conclusion Early cerebral infarction thrombolytic therapy effective