[1]李水仙,郑维红,庄晓荣,等.不同溶栓方法治疗心源性脑栓塞的对比研究[J].介入放射学杂志,2014,(10):843-847.
 LI Shui xian,ZHENG Wei hong,ZHUANG Xiao rong,et al.Thrombolytic treatment of cardiogenic cerebral embolism: comparison study between different thrombolytic methods[J].journal interventional radiology,2014,(10):843-847.
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不同溶栓方法治疗心源性脑栓塞的对比研究 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年10期
页码:
843-847
栏目:
神经介入
出版日期:
2014-10-25

文章信息/Info

Title:
Thrombolytic treatment of cardiogenic cerebral embolism: comparison study between different thrombolytic methods
作者:
李水仙 郑维红 庄晓荣 林 威 陈星宇 阳清伟 潘速跃
Author(s):
LI Shui xian ZHENG Wei hong ZHUANG Xiao rong LIN Wei CHEN Xing yu YANG Qing wei PAN Su yue.
Department of Neurology, Nanfang Hospital of South Medical University, Guangzhou, Guangdong Province 510515, China
关键词:
【关键词】 溶栓 治疗 心源性脑栓塞
文献标志码:
A
摘要:
【摘要】 目的 了解不同溶栓方法治疗心源性脑栓塞患者的有效性、安全性。方法 66例心源性脑栓塞患者分为静脉溶栓组25例、单纯动脉溶栓组18例、机械辅助动脉溶栓组23例,评估不同溶栓方法治疗后血管再通率、NIHSS评分、GCS评分、Barthel指数(BI)优率、症状性颅内出血率及病死率。结果 3组患者治疗后的NIHSS评分、GCS评分均较治疗前明显提高(P < 0.05),机械辅助动脉溶栓组血管再通率(18/23,78.3%)、BI优率(10/25,40%)均明显高于静脉溶栓组(P < 0.05);单纯动脉溶栓组的症状性颅内出血率(1/18,5.6%)明显低于静脉溶栓组(8/25,32%);病因分析发现,瓣膜性心脏病、黏液瘤所致脑栓塞的血管再通率低,颅内出血率和病死率高。结论 溶栓治疗可改善心源性脑栓塞的神经功能缺损,机械辅助动脉溶栓治疗效果较好。

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备注/Memo

备注/Memo:
(收稿日期:2014-02-10)
(本文编辑:李 欣)
更新日期/Last Update: 2014-10-21