中国急性缺血性脑卒中早期血管内介入诊疗指南

被引:162
作者
朱武生
刘文华
刘新峰
机构
[1] 中华医学会神经病学分会
[2] 中华医学会神经病学分会神经血管介入协作组
[3] 急性缺血性脑卒中介入诊疗指南撰写组
[4] 南京军区南京总医院神经内科
关键词
D O I
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中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
<正>目前中国每年因脑卒中死亡的人数已超过肿瘤和心血管疾病,成为第1位致死原因。急性期治疗对脑卒中患者的预后极为重要。循证医学证实,发病4.5 h内采用重组组织型纤溶酶原激活剂(rtPA)静脉溶栓是治疗急性缺血性脑卒中的首选方法。然而能在时间窗内到达医院并具备溶栓适应证的患者非常有限[1];此外,大血管闭塞性脑卒中在静脉溶栓后实现血管再通率偏低,如大脑中动脉M1段再通率约为30%,颈内动脉末端再通率仅为
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页码:356 / 361
页数:6
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