胡国汉 张光霁 朱诚 卢亦成 白如林 马廉亭 高桥明 200001 上海第二军医附属长征医院神经外科(胡国汉、张光霁、朱诚、卢亦成、白如林)；广州军医武汉总医院神经外科(马廉亭)；日本仙台(亠)/(么)南病院血管内神经外科(高桥明) 中华神经外科杂志 1998 0 14 4


    关键词：大脑中动脉闭塞；溶栓；经皮腔内血管成形术 期刊 zhsjwkzz 0 论 著 fur -->


    

摘要 目的：评价局部动脉内溶栓和经皮腔内血管成形术(PTA)结合在治疗急性大脑中动脉闭塞中的应用。方法：7例急性大脑中动脉闭塞用局部动脉内灌注t-PA溶栓，6例M1段同时存在狭窄，用PTA成功消除；所有病例均在发病6小时内开始治疗。结果：7例均获得闭塞动脉完全再通，6例M1段狭窄用PTA消除，5例偏瘫完全恢复，1例有脑出血并发症。结论：局部动脉内溶栓和PTA结合可能是治疗急性大脑中动脉闭塞的有效方法。

Combined localintravascular thombolysis and percutaneous transluminal angioplasty for acute middlecerebral artery occlusion Hu Guohan, Zhang Guangji, Zhu Cheng, et al. Department of Neurosurgery,Changzheng Hospital, Second Millitary Medical University. Shanghai 200003.

    Abstract Objective: To evaluate theapplication of local intravascular thrombolysis and PTA for acute middle cerebral arteryocclusion. Method: 7 cases with acute middle cerebral arteries occlusion were treated bylocal intravascular infusion of t-PA, PTA was used to eliminate the stenosis existedsimultaneously in 6 cases. All cases were treated in 6 hours after the onset of symptom.Result: MCA reopened in 7 cases. M1 segment stenosis disappeared after PTA in 6 cases and5 cases recovered from their hemi paresis. Conclusion: Local intravascular thrombolysiscombined PTA may be an alternative therapy for acute middle cerebral artery occlusion.

    Key words Middle cerebral artery occlusion Thrombolysis Percutaneous transluminal angioplasty

我们用局部动脉内溶栓和经皮腔内血管成形术(PTA)结合治疗急性大脑中动脉闭塞(MCAO)7例患者 ......

    百拇医药网 http://www.100md.com/html/DirDu/2005/07/04/66/92/41.htm

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