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急性脑栓塞引起颈内动脉及主要分支主干闭塞,常引起突然偏瘫、失语、昏迷,致残率很高。早期行动脉超选溶栓治疗(Local Intraarterial Fibrinolysis,LIF)可使闭塞血管再通,减少脑缺血的时间和脑组织损害的程度,从而有效地改善临床症状并减少致残率。本研究中心从1987年12月至1995年3月共行脑血管造影及介入治疗4000例,其中,8例(0.2％)发生急性脑栓塞并当即行LIF治疗,结果报告如下。 资料与方法 1.本组8例血管栓塞患者,男6例,女2例,平均年龄48.3岁。均在介入治疗当中突然发生连续
Acute cerebral embolism caused by occlusion of the internal carotid artery and the main branch, often causing sudden hemiplegia, aphasia, coma, high morbidity. Local Intraarterial Fibrinolysis (LIF) can improve the clinical symptoms and reduce the disability rate by reopening occlusive blood vessels, reducing the time of cerebral ischemia and the damage of brain tissue. The center from December 1987 to March 1995 cerebral angiography and interventional treatment of 4000 cases, of which 8 cases (0.2%) of acute cerebral embolism and immediately LIF treatment, the results are reported as follows. Materials and Methods 1. The group of 8 patients with vascular embolism, 6 males and 2 females, mean age 48.3 years. Suddenly occurred in the continuous interventional treatment