about carotid artery thrombolysis and blood stasis treatment of 50 cases of ischemic cerebrovascular disease（关于颈动脉溶栓和血瘀治疗50例缺血性脑血管病）.docVIP

About carotid artery thrombolysis and blood stasis treatment of 50 cases of ischemic cerebrovascular disease [Keywords] carotid artery thrombolysis blood stasis intravenous thrombolysis with ischemic cerebrovascular disease 1 objects and methods 1.1 Object Selection medical records to comply with the following conditions: (1) within 24 h in the pathogenesis of cranial CT to exclude cerebral hemorrhage, ② no significant disturbance of consciousness, ③ bleeding tendency and a history of active bleeding, ④ no significant hypertension, systolic blood pressure ≤ 179 obvious hemiplegia carotid artery system mmHg, ⑤ infarction, muscle strength generally 0 to 3 the ⑥ age is generally 70 years of age, and a better physique. meet the above criteria in 84 cases were randomly divided into two groups. treatment group 50 (35 men and 15 women) were aged 50 to 60 years old in 23 cases, 27 cases of 61 to 70 years old, with an average age of 59.4 years, control group 34 (23 male and 11 females, in which the age of 50 to The 60-year-old, 23 cases, 11 cases, 61 to 70 years old, with an average age of 62.1 years. 1.2 method of treatment group 300,000 U urokinase (days Pu Luoxin, Guangdong Tempe pharmaceutical companies) dissolved in saline 80 mL in the internal carotid artery injection, about 40 min end note immediately after the second hospitalization, , once every 3 to 5 times, while low molecular weight dextran 500 mL of Traditional Chinese Medicine (a Fleabane 180 mg ligustrazine 200 mg) intravenous infusion, treatment for 14 d. (uk30 million U of urokinase control group dissolved in saline 250 mL intravenous infusion, 1 / d for 7 days, the application of traditional Chinese medicine with the treatment group. while giving the necessary reductions in blood pressure, lipid, of dehydration and rehabilitation therapy. daily medication before the detection of plasma fibrinogen, when fibrinogen less than 0.4 g / L discontinuation were neurological deficit scores at admission