颈内动脉系统闭塞的动脉溶栓治疗进展

Progress of Artery Thrombolytic Therapy for Internal Carotid Artery Occlusion

颈内动脉系统是发生血栓的常见部位,急性闭塞后出现症状,严重可致患者残疾。随着近年临床研究及介入器材的发展,血管闭塞后潜在的侧支循环、血栓性质,新药物的研究,动脉溶栓后并发症的减少,患者溶栓后血流再通的获益,使早期血栓内给药成为可能。动脉闭塞急性期早期的血管再通,血流恢复,对患者的预后有明显改善。

Internal carotid artery system is a common site of thrombosis. Symptoms after acute occlusion can cause severe disability in patients. Along with the development of clinical research and interventional e- quipment,the research on potential collateral circulation after acute occlusion, thrombosis nature, and new drugs, decrease in complications after intra - arterial thrombolysis, and the benefit of blood flow after throm- bolytic recanalization in recent years,the early thrombus administration has become possible. Early reeanali- zation and blood flow recovery after artery occlusion in acute phase can improve the prognosis significantly.