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作者报告经血管内选择性溶栓治疗５例发病在６ｈ内的急性脑梗塞。均经股动脉入路，由全脑血管造影确认脑梗塞区的病变特点，再选择性将导管插入患侧颈内动脉并注入天普洛欣尿激酶行区域性溶栓治疗。５例在溶栓后于３周内神经损害体征基本恢复正常。溶栓的指征和方式取决于术前脑ＣＴ扫描和脑实质血管造影的结果，在脑梗塞后尽快行患侧颈内动脉区域的局部动脉内溶栓有益于闭塞血管再通和侧支循环的建立。
The authors report 5 patients with acute cerebral infarction within 6 h treated with endovascular selective thrombolysis. All of the femoral artery approach, by cerebral angiography to confirm the characteristics of cerebral infarction lesions, and then selectively inserted into the ipsilateral carotid artery and injection of topical urokinase line thrombolytic therapy. In 5 cases, the signs of nerve damage returned to normal within 3 weeks after thrombolysis. Indications and modalities for thrombolysis depend on the results of preoperative brain CT scans and intraparenchymal angiography. Local intra-arterial thrombolysis of the ipsilateral internal carotid artery area is beneficial for occlusion of recanalization and collateral circulation after cerebral infarction The establishment of.