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目的通过对１１例急性脑梗塞介入溶栓治疗分析，就药物注入剂量、速度、治疗时机及相关并发症进行讨论。方法经选择性动脉内灌注尿激酶溶栓，血管造影证实阻塞血管开通情况。结果阻塞血管完全再通３例，部分再通６例，开通率８１．８％，未开通２例；临床治愈５例，显效４例，有效１例，死亡１例。结论介入性溶栓方法是治疗急性脑梗塞的一种安全有效的方法。介入溶栓时机越早越好。在限定的时间窗内，控制溶栓药注入剂量和速度的条件下，可取得比较满意的疗效，并不增加出血性并发症的发生率
Objective To discuss the interventional thrombolytic therapy in 11 patients with acute cerebral infarction and to discuss the dose, speed, timing and related complications of drug injections. Methods The selective intra-arterial infusion of urokinase thrombolysis angiography confirmed occlusion of blood vessels open situation. Results Obstructed blood vessels completely recanalized in 3 cases, partial recanalization in 6 cases, the opening rate of 81.8%, 2 cases were not opened; clinical cure in 5 cases, 4 cases markedly effective in 1 case, 1 case of death. Conclusion interventional thrombolysis is a safe and effective method for the treatment of acute cerebral infarction. Interventional thrombolytic opportunity the sooner the better. In a limited time window, the control of thrombolytic drug dosage and speed conditions, can be obtained more satisfactory efficacy, does not increase the incidence of hemorrhagic complications