急性缺血性脑卒中血管再通方法的比较性研究

被引:8
作者
涂雪松
机构
[1] 北京脑血管病医院
关键词
急性缺血性脑卒中; 血管再通; 溶栓; 支架置入术; 机械再通术; 颅内动脉粥样硬化性狭窄;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
急性缺血性脑卒中(AIS)的预后与急性期的血管再通密切相关。评价血管再通效率的标准有3条,即血管再通率、临床转归率和不良反应。AIS血管再通的方法有静脉溶栓、动脉溶栓、动静脉溶栓、机械再通术,机械再通术又分为支架再通术和机械碎栓/取栓术再通术。从血管再通效率的评价标准而言,机械再通术虽血管再通率高,但不良反应较多,且临床转归率并未提高多少;而静脉溶栓虽血管再通率不及机械再通术,但临床转归率也不低,不良反应明显减少,是首选之血管再通治疗方法。
引用
收藏
页码:205 / 211
页数:7
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