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目的分析颈内动脉系统急性脑梗塞动脉溶栓治疗的有效性和安全性。方法对28例颈内动脉急性脑梗塞的患者进行了动脉溶栓治疗,通过造影显示血管再通情况。术后即刻和24h后分别行头颅CT扫描以了解有无颅内出血(ICH)。术后第90天采用Barthel指数(BI)对患者生活状态进行评估。结果28例患者经动脉溶栓治疗,堵塞血管再通18例,部分再通6例,未通4例；症状性颅内出血8例,死亡5例。术后第90天,生活状态优者14例,良者8例,差或者死亡6例。再通患者生活状态明显优于部分再通及未通患者。结论动脉溶栓具有较高的症状性颅内出血率及死亡率。再通患者生活状态较好。
Objective To analyze the effectiveness and safety of arterial thrombolysis in patients with acute cerebral infarction caused by internal carotid artery. Methods Thirty-eight patients with acute cerebral infarction of the internal carotid artery were treated with arterial thrombolysis and angiography showed the situation of recanalization. Immediately after surgery and 24h after head CT scan to find whether intracranial hemorrhage (ICH). On the 90th day after operation, the Barthel index (BI) was used to assess the patient’s life status. Results Twenty - eight patients underwent thrombolytic therapy, occluding 18 cases of revascularization, partially recanalization in 6 cases and failing in 4 cases. Symptomatic intracranial hemorrhage in 8 cases and death in 5 cases. On the 90th day after operation, 14 patients with excellent living status, 8 patients were good, and 6 patients were poor or dead. Recanalization of patients with living conditions was significantly better than some recanalization and failed patients. Conclusion Arterial thrombolysis has higher symptomatic intracranial hemorrhage and mortality. Better patient life better.