急性脑梗死机械取栓治疗的研究进展

发布时间：2018-03-04 04:21

本文选题：急性脑梗死　切入点：支架　出处：《中国全科医学》2017年27期 　论文类型：期刊论文

【摘要】：随着人们生活模式及饮食结构的改变,急性脑梗死已成为诱发老年患者死亡、残疾的重要原因,且患者一旦发病极容易引发瘫痪等一系列并发症,不仅增加患者的经济负担,还给其身心带来伤害。当前临床治疗主要采用动脉内溶栓、机械取栓、静脉溶栓等方式。本文主要介绍了机械取栓治疗急性脑梗死的研究现状,并对机械取栓与动脉内溶栓的治疗效果及可能出现的并发症进行分析比较,结果显示,与动脉内溶栓治疗相比,采用支架机械取栓治疗所获得的治疗效果更好,且继发性脑栓塞、术后脑出血和脑血管痉挛等并发症发生的可能性大幅降低,尤其对于急性脑梗死患者其治疗效果更好。
[Abstract]:With the change of people's life pattern and diet structure, acute cerebral infarction has become an important cause of death and disability in elderly patients. Once the patients become ill, they are prone to lead to paralysis and a series of complications, which not only increase the economic burden of patients, but also increase the economic burden of patients. At present, the main methods of clinical treatment are intra-arterial thrombolysis, mechanical thrombolysis, intravenous thrombolysis, etc. This article mainly introduces the research status of mechanical thrombolysis in the treatment of acute cerebral infarction. The effect of mechanical thrombolysis and intra-arterial thrombolytic therapy and the possible complications were compared. The results showed that the therapeutic effect of mechanical stent thrombolysis was better than that of intra-arterial thrombolytic therapy. The possibility of secondary cerebral embolism, postoperative cerebral hemorrhage and cerebral vasospasm was significantly reduced, especially for patients with acute cerebral infarction.
【作者单位】：河北医科大学第一医院神经外科;
【基金】：河北省医学重点课题(20150645)
【分类号】：R651.12

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