Progress in the treatment of acute cerebral infarction.docVIP

 PAGE \* MERGEFORMAT 16 Progress in the treatment of acute cerebral infarction [Keywords:] cerebral infarction treatment Cerebral infarction is a serious harm to human health of the major diseases is one of the first cause of long-term disability, their mortality rate came in after myocardial infarction and cancer, ranking third. The decisive factor is the formation of cerebral ischemic brain tissue the duration and severity. 75% of cerebral infarction was due to acute thrombosis or blood clots in other parts of the transfer, leading to a result of regional cerebral vascular occlusion [1]. However, at present there is no breakthrough in the treatment of progress in the field has to seek new ways and means of treatment has become the most urgent and important research topic. At home and abroad in recent years, the writer’s status and progress in the treatment of acute cerebral infarction are summarized as follows: 1 Thrombolytic therapy 1.1 ‘time window’ Treat Ischemic brain tissue pathological injury was progressive development, and therefore have time to thrombolysis time limit [2]. Dissolve the clot and restore blood supply is now internationally recognized as a most effective treatment measures. Ultra-early ‘time window’ is the key to thrombolytic therapy. In clinical practice, 6 ~ 12h of onset within the CT, MRI is not yet fully demonstrated the infarct size, thrombolytic therapy is often the best time to delay. In 1991, the United Kingdom Bamford et al proposed OCSP classification method [3] to guide clinical treatment. The biggest advantage of the law is not dependent on the CT, MRI examination of the results can be in a very short period of time based on the patient’s whole-brain symptoms and focal brain damage symptoms of the rapid separation of four subtypes, suggesting that occlusion of blood vessels and the size of the infarct and locations, in order to win time thrombolysis. The timing of thrombolytic therapy: Ringleb PA et al [4,5] studies s