20例急性缺血性脑卒中患者接受颈动脉内溶栓治疗，并于溶栓前及溶栓后8、48h及2周进行疗效评价。结果：20例患者中15例经脑血管造影及彩色多普勒超声扫描证实为血管完全性或部分开通，5例来开通。溶栓后患者神经病学缺损评分明显下降．15例ADL评分＞61分。5例溶栓后ADL≤60分患者经过8周康复训练后，4例恢复良好。提示动脉内溶栓及溶栓后康复治疗可较好改善急性缺血性脑卒中患者的预后。 Twenty patients with acute ischemic stroke underwent carotid endarterectomy. The curative effect was evaluated before thrombolysis and at 8, 48, and 2 weeks after thrombolysis. Results: Fifteen of the 20 patients were confirmed by angiography and color Doppler ultrasonography as complete or partial blood vessel opening and 5 as opening. Patients with neurological deficit score after thrombolysis decreased significantly. 15 cases of ADL score> 61 points. Five patients with ADL≤60 after thrombolysis recovered well after 8 weeks of rehabilitation. Prompt arterial thrombolysis and thrombolysis after rehabilitation treatment can better improve the prognosis of patients with acute ischemic stroke.