李严

    【摘 要】目的：探究颅内动脉瘤支架辅助栓塞术中急性血栓治疗。方法：选择100例动脉瘤患者为样本研究，其中在术中形成急性血栓共计14例(囊性动脉瘤13例、夹层动脉瘤1例；且8例瘤体已破裂，6例未破裂)。在结合患者实际情况后分别采取对应处理措施。如使用替罗非班等多种溶栓治疗法。结果：针对未破裂动脉瘤形成的血栓，可采取替罗非班溶栓治疗，安全性高；而瘤体已破裂采取此法有效性待进一步分析，可借助微导丝等实现血管再通。结论：支架辅助栓塞术是颅内动脉瘤重要治疗措施，发现急性血栓时要结合患者动脉瘤位置、是否破裂等来综合考虑最佳治疗方案。

    【关键词】颅内动脉瘤；支架；血栓；微导管

    Treatment of acute thrombosis during stent assisted embolization of intracranial aneurysms

    LI Yan

    Cangzhou Central Hospital， Cangzhou Hebei 061001， China

    【Abstract】Objective： To investigate the acute thrombus treatment during stent assisted embolization of intracranial aneurysms. Methods： 100 patients with aneurysms were selected as the sample study， including 14 cases of acute thrombosis during operation (13 aneurysmal cystic and 1 dissecting； and 8 aneurysmal already ruptured and 6 unruptured). Taking corresponding treatment measuresrespectively after combining the patient’s actual situation. Such as using multiple thrombolysis methods such as tirofiban. Results： For the thrombus formed by unruptured aneurysm ......