[1]朱凤水,李慎茂,缪中荣,等.急性椎基底动脉闭塞的介入治疗[J].介入放射学杂志,2007,(05):348.
　Interventional therapy for acute vertebrobasilar arterial occlusions ZHU Feng-shui,LI Shen-mao,MIAO Zhong-rong,et al.Interventional therapy for acute vertebrobasilar arterial occlusions[J].journal interventional radiology,2007,(05):348.
点击复制

急性椎基底动脉闭塞的介入治疗()

PDF下载中关闭

分享到：

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

卷:
期数:
2007年05期
页码:
348
栏目:
临床研究
出版日期:
2007-05-15

文章信息/Info

Title:
Interventional therapy for acute vertebrobasilar arterial occlusions
作者:
朱凤水; 李慎茂; 缪中荣; 等
１０００５３北京首都医科大学宣武医院介入中心
Author(s):
Interventional therapy for acute vertebrobasilar arterial occlusions ZHU Feng-shui; LI Shen-mao; MIAO Zhong-rong; JI Xun-ming; JIAO Li-qun; LING Feng．
Department of Interventional Radiology，Xuanwu Hospital，Capital University of Medical Sciences，Beijing１０００５３，China
关键词:
椎基底动脉; 闭塞; 溶栓; 支架
分类号:
R７３５.７
文献标志码:
B
摘要:
目的探讨急性椎基底动脉闭塞动脉内溶栓治疗，溶栓后血管狭窄的处理问题。方法收集我院２００１年１月至２００６年７月急性椎基底动脉闭塞患者６７例。全脑血管造影后，责任动脉内泵入尿激酶，复查造影，溶栓后动脉残余重度狭窄者置入支架。结果溶栓后血管完全再通１７例（２５．４％），血管部分再通４１例（６１．２％），血管未通９例（１３．４％）。临床症状恢复良好１９例，轻度伤残２３例，重度伤残８例，死亡１７例。结论急性椎基底动脉闭塞溶栓治疗是有效的，时间窗应强调个体化，溶栓后血管残余狭窄可行支架置入术。

参考文献/References:

［１］黄如训，苏镇培．脑卒中［M］．北京：人民卫生出版社，２００１，１１．
［２］中华医学会神经外科分会，中国医师协会神经外科分会，中国医师协会神经内科分会．介入神经放射诊断治疗规范（Ⅲ）［J］．中国脑血管病杂志，２００５，２：４７６-４８０．
［３］贺茂林，陈清棠．急性脑梗死的溶栓治疗时间窗及其病理生理［J］．中国危重急救医学，２０００，１２：３１５-３１７．
［４］缪中荣．后循环急性血栓形成动脉溶栓治疗的时间窗究竟有多“宽”［J］．中国脑血管病杂志，２００４，１：３６２-３６５．
［５］Pulsinelli WA，JacewiczM，Levy DE，et el．Ischemic brain inju-ry and the therapeatic window［J］．Ann N Y Acad Sci，１９９７，８３５：１８１-１９３．
［６］李慎茂，缪中荣，朱凤水．脑栓塞急诊溶栓与颅内支架成形术的临床应用［J］．中华医学杂志，２００３，８３：９-１２．

相似文献/References:

[1]李选,欧阳强,萧湘生.介入取栓术治疗急性肠系膜上动脉栓塞临床研究[J].介入放射学杂志,2006,(04):206.
　LI Xuan,OUYANG Qiang,XIAO Xiang-sheng.Interventional embolectomy for acute superior mesenteric artery embolism[J].journal interventional radiology,2006,(05):206.
[2]李郁芳,蒋初明,李冬华,等.经皮血管内支架治疗锁骨下动脉狭窄性疾病[J].介入放射学杂志,2008,(02):132.
　LI Yufang,JIANG Chuming,LI Donghua,et al.Pecutaneous intravascular stenting for subclavian arterial stenosis or occlusion[J].journal interventional radiology,2008,(05):132.
[3]王广举,刘斌,李凤武,等.外伤后肢体动脉急性闭塞的介入溶栓治疗[J].介入放射学杂志,2008,(05):368.
　WANG Guangju,LIU Bin,LI Fengwu,et al.Post－traumatic intraarterial thrombolytic treatment for acute occlusion of the extremities artery[J].journal interventional radiology,2008,(05):368.
[4]李郁芳,蒋初明,李冬华,等.金属裸支架与药物洗脱支架在治疗症状性椎－基底动脉狭窄与急性闭塞中的应用[J].介入放射学杂志,2008,(10):692.
　LI Yufang,JIANG Chuming,LI Donghua,et al.Preliminary clinical application of bare metal stent and drug eluting stent angioplasty in vertebrobasilar stenosis and acute occlusion[J].journal interventional radiology,2008,(05):692.
[5]李京雨,刘涛,徐力扬,等.慢性主－髂动脉闭塞内膜下再通治疗的可行性及初步应用[J].介入放射学杂志,2009,(03):220.
　LI Jingyu,LIU Tao,XU Liyang,et al.Subintimal racanalization for the treatment of chronic aorto－iliac artery occlusion：its feasibility and preliminary results[J].journal interventional radiology,2009,(05):220.
[6]曲增强,张遂亮,陈晓霞,等.原位肝移植后下腔静脉闭塞介入治疗一例[J].介入放射学杂志,2009,(03):211.
　QU Zengqiang,ZHANG Suiliang,CHEN Xiaoxia,et al.Interventional management of the obstruction of inferior vena cava after orthotopic liver transplantation：report of one case[J].journal interventional radiology,2009,(05):211.
[7]陈军,黄清海,刘建民,等.缺血性脑血管病３０４例血管造影分析[J].介入放射学杂志,2009,(04):248.
　CHEN Jun,HUANG Qinghai,LIU Jianmin,et al.Digital subtraction angiography in patients with ischemic cerebrovascular diseases：an analysis of ３０４cases[J].journal interventional radiology,2009,(05):248.
[8]齐力,焦力群,李慎茂,等.锁骨下动脉闭塞机械再通的方法研究[J].介入放射学杂志,2010,(02):138.
　QI Li,JIAO Liqun,LI Shenmao,et al.Endovascular mechanical recanalization of subclavian artery total occlusion[J].journal interventional radiology,2010,(05):138.
[9]林开勤,方学华.血液透析患者上肢动静脉内瘘狭窄或闭塞的介入治疗[J].介入放射学杂志,2010,(02):130.
　LIN Kaiqin,FANG Xuehua.The interventional treatment of arteriovenous fistula stenosis or occlusion in upper extremity in hemodialysis patients[J].journal interventional radiology,2010,(05):130.

备注/Memo

备注/Memo:
收稿日期：２００７-０３-０５
更新日期/Last Update: 2007-05-15