摘要
溶栓是脑卒中急性期最具疗效的药物治疗方法。溶栓时间窗延长并不是指医生获得了更多的时间,而是为更多的患者争取了溶栓时机。"越早越好""时间就是大脑"的基本原则并没有改变,起病1.5 h内溶栓,患者的获益最为突出。
出处
《长春中医药大学学报》
2011年第2期225-226,共2页
Journal of Changchun University of Chinese Medicine
基金
国家"十一五"科技支撑计划课题(2006BAI04A02-2)
参考文献11
-
1European Stroke Organization(ESO) Executive Committee. Update Guidelines January 2009 New Elements[ EB/OL]. [ 2009-06-28 ]. http://www, eso-stroke, org.
-
2Albers GW, Bates VE, Clark WM, et al. Intravenous tissue-type plasminogen activator for treatment of acute stroke: the Standard Treatment with Alteplase to Reverse Stroke (STARS) study [ J ]. JAMA,2000,283 : 1145-1150.
-
3Wahlgren N, Ahmed N, Davalos A, et al. Thrombolysis with al- teplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST) :an obser- vational study [ J ]. Lancet, 2007,369: 275-282.
-
4G~ham GD. Tissue piasminogen activator for acute ischemic stroke in clinical practice: a meta-analysis of safety data[J].Stroke, 2003,34 : 2847-2850.
-
5Hsia AW, Sachdev HS, Tomlinson J, et al. E~cacy of IV tissue plasminogen activator in acute stroke: does stroke subtype really matter[ J]. Neurology, 2003,61 : 71-75.
-
6Kleindorfer D, Hill MD, Woo D, et al. A description of Canadian and United States physician reimbursement for thrombolytie thera- py administration in acute ischemic stroke [ J ]. Stroke, 2005,36: 682-687.
-
7Hacke W, Donnan G, Fieschi C, et al. Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials[ J]. Lancet, 2004,363 : 768-774.
-
8Hacke W, Kaste M, Bluhmki E, et al. For the ECASS investiga- tors. Thrombolysis with Alteplase 3 to 4.5 hours after acute is- chemic stroke[ J] .N Engl J Med,2008,359:1317-1329.
-
9Hjort N, Butcher K, Davis SM, et al. Magnetic resonance imaging criteria for thrombolysis in acute cerebral infarct[ Jl. Stroke,2005, 36:388-397.
-
10Tanne D. Imaging blood-brain barrier disruption: an evolving tool for assessing the risk of hemorrhage after thrombolysis Nature Clinical Practice[ J~. Neurology 2008,12 : 644-5.
同被引文献17
-
1各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380. 被引量:33041
-
2The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group.Tissue plasminogen activator for acute ischemic stroke.[J] .N Engl J Med,1995,333(24):1581-1587.
-
3ISAAC A M.Re-education.Rx:activities of daily living[J] .J Kans Med Soc,1963,64:58-62.
-
4Turk A,Magarik J A,Chaudry I,et al.CT perfusion-guided patient selection for endovascular treatment of acute ischemic stroke is safe and effective[J] .J Neuro Intervent Surg,2012,4(4):261-265.
-
5Liu L,Wang D,Wong K S,et al.Stroke and stroke care in China:huge burden,significant workload,and a national priority[J] .Stroke,2011,42(12):3651-3654.
-
6Barbagelata A,Perna E R,Clemmensen P.Time to reperfusion in acute myocardial infarction.It is time to reduce it[J] .Journal of Electrocardiology,2007,40(3):257-264.
-
7周柳嫦,何兰芬,雷菊蕊,叶影芳.早期康复护理对脑梗死溶栓治疗患者生命质量的影响[J].中国医学创新,2010,7(11):99-100. 被引量:8
-
8刘淑颖.颈动脉系统溶栓20例临床观察[J].中外医学研究,2010,8(27):151-152. 被引量:1
-
9刘庆宪,宋永建.急性缺血性脑卒中动静脉溶栓治疗时间窗研究[J].临床药物治疗杂志,2011,9(6):32-36. 被引量:25
-
10秦婧.急性缺血性脑卒中患者早期静脉溶栓治疗的护理体会[J].中外医学研究,2012,10(19):93-93. 被引量:3
-
1陈葵,李继梅,王佳伟,张拥波,伍文清,许舂伶,脱厚珍.循证医学在血管神经病学教学中的应用[J].中国卒中杂志,2011,6(2):177-180. 被引量:4
-
2赵永厚,顾喜喜,许得盛,傅毅,范越,蔡定芳.银丹心脑通软胶囊治疗急性缺血性卒中临床研究[J].上海中医药杂志,2006,40(9):18-19. 被引量:30
-
3乌兰,白玉亮.栀子汤治疗急性缺血性卒中的疗效观察[J].中国民族医药杂志,2016,22(12):70-71. 被引量:1
-
4唐大军,唐亚军.血府逐瘀汤结合西药治疗急性缺血性卒中的效果观察[J].中医临床研究,2016,8(27):27-28. 被引量:6
-
5卢美萍.浅谈中药灌肠治疗盆腔炎[J].医学信息,2013(6):99-99. 被引量:3
-
6王文慧.小针刀配合温针法治疗肩关节周围炎48例[J].中国中医药现代远程教育,2015,13(2):77-79. 被引量:6
-
7张永潮,袁春意,甘国兴.参蛭丸治疗冠心病心绞痛40例[J].中国中医药现代远程教育,2011,9(22):13-14. 被引量:1
-
8贾爱云.中药熏蒸联合治疗银屑病的临床观察及护理[J].临床医药实践,2010,19(8X):1111-1112. 被引量:2
-
9高芳.补中益气汤加减灌肠治疗慢性泄泻62例[J].光明中医,2014,29(6):1209-1210. 被引量:5
-
10丰效杰.丹红注射液治疗急性缺血性卒中的临床观察[J].世界最新医学信息文摘,2016,16(40). 被引量:1