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本文报告了采用超选择性导管技术,以尿激酶局部动脉内灌注治疗 1例左侧大脑中动脉闭塞患者,重复脑血管造影证实闭塞的动脉开通,临床上获得明显改善。并探讨了给药途径、超选择性溶栓治疗适应症的选择、局部动脉内灌注尿激酶的方法及用量等,并且分析了国外几组资料出血性并发症的出血部位,溶栓后的再通情况及其临床症状的改善情况。
This article reports the use of superselective catheterization in the treatment of 1 case of left middle cerebral artery occlusion with urokinase intra-arterial infusion. Cerebral angiography confirmed the occlusion of the artery and achieved clinically significant improvement. And to explore the route of administration, the choice of indications of ultra-selective thrombolytic therapy, local intra-arterial infusion of urokinase method and dosage, and analysis of several foreign hemorrhagic complications of bleeding site, and then after thrombolysis Through the situation and improve their clinical symptoms.