【摘要】脑血栓形成是脑梗死中最常见类型,虽然比脑出血死亡率低,但致残率高,且20%的病人会复发。治疗方法多采用溶栓、抗凝、降纤等。其中静、动脉溶栓是最迅速、最直接的干预方式。两者间比较各有利弊,本研究对100例急性脑梗死患者分组进行了动脉溶栓和静脉溶栓治疗,结果为:动、静脉溶栓均有效;动脉溶栓较静脉溶栓早期致残率低;动脉溶栓受条件限制;静脉溶栓适合在基层医院开展。

    【关键词】脑血管病;动、静脉溶栓;观察

    【中图分类号】R743.3 【文献标识码】A 【文章编号】1008-6455(2010)08-0039-02

    【Abstract】Cerebral Thrombosis is the most common type of cerebral infarction. Although the mortality rate of Cerebral Thrombosis is lower than that of Cerebral Hemorrhage, rate of disability is higher and 20% of the patients relapse. Therapies are always thrombolysis, anticoagulation, fiber degrading, etc. Among those, Intra-venous and Intra-artillery Thrombolysis are the fastest and the most direct intervention treatment, and each has both advantages and disadvantages. This research divides 100 cases of Acute Ischemic Cerebrovascular Disease patients into several groups receiving the therapy of Intra-artillery or Intra-venous Thrombolysis respectively. Results show that both work effectively though Intra-venous Thrombolysis has lower rate of disability than Intra-artillery Thrombolysis in early stages. Nonetheless, while Intra-venous Thrombolysis applies easily in grassroots hospitals, Intra-artillery Thrombolysis has more restrictions. ......