 Wysłany: Wto 22:12, 10 Maj 2011 Temat postu: Abercrombie,Thrombolysis in acute ischemic stroke |
|
| Thrombolysis in acute ischemic stroke treatment progress
[Key words] stroke thrombolysis Health Network News: 185mmHg, or diastolic blood pressure> 110mmHg; (7) septic embolism; (  the most
30 days have AMI; (9) coagulation disorder. Treatment: Dose 0.9mg/kg (maximum dose 90mg), 10% of total intravenous, and the remaining doses of intravenous 60m in above. 4 arterial thrombolytic therapy Local arterial thrombolysis is to a micro-catheter into the blocked artery emboli before or after, and then injected into Thrombolytic drugs. Widely used in the world of this therapy is based on two randomized trials and a large number of case reports . In the past, urokinase is the most common study drug,Abercrombie Paris, and recently, t-PA and urokinase are the main before the study drug . About 40% of patients after complete arterial thrombolysis after arterial recanalization, about 35% of patients after thrombolytic therapy Partial recanalization after [17]. Arterial thrombolysis thrombolytic recanalization rates than the higher rate of reperfusion [18]. Two large studies in the larger one, the PROACT Ⅱ trials for patients is the result of cerebral angiography Determined middle cerebral artery occlusion or branch initial segment of [3]. 12,Abercrombie,323 cases of patients through the screening, 474 Patients do angiography, and finally 180 patients were enrolled; 121 cases before the patients received local arterial urokinase mediated Into the low-dose heparin therapy and intravenous therapy. 2h 67% of patients after partial or complete recovery,Abercrombie france,The practice of injecting the plight of Penalty in China and its value base _, but the cerebral hemorrhage The occurrence rate of 10%. Arterial thrombolysis interventional techniques: Indications: (1) acute sudden persistent neurological damage, manifested as brain Artery occlusion; (2) onset time within 12h; (3) CT ruled out intracerebral hemorrhage or cerebral vascular malformation; (4), cerebral blood Control angiography shows emboli is soluble. Excluded cases: (1) patients is a small vessel occlusion; (2) CT has a show Blood; (3) suspected tumor, infection of the patient; (4) 48h before the onset of anticoagulation therapy of patients used; (5) elimination Resistance ulcers; (6) 10 days who had major surgery; (7), systolic blood pressure> 220mmHg, or diastolic blood pressure> 110mmHg. Treatment Methods: DSA interventional, interventional catheter through the femoral artery into the aortic arch the body, and then enter the Side blocked carotid artery,Abercrombie, into the middle cerebral artery, the urokinase into the thrombus. </ PRESTYLE = |
|
