急性脑梗死溶栓20资料祥解ppt课件.pptxVIP

急性脑梗死溶栓20年回顾与展望杜万良北京天坛医院神经内科2015.10.1120年的试验Randomized Trials of Alteplase vs PlaceboEffect of alteplase on good stroke outcome (mRS 0?1), by treatment delay, age, and stroke severityEffect of timing of alteplase treatment on good stroke outcome (mRS 0?1)20年的指南指南中的治脉溶栓rtPA替奈普酶、瑞替普酶、去氨普酶、尿激酶及其他纤溶药物安克洛酶和其他降纤药物血管内介入动脉溶栓机械取栓血管成形术和/或支架植入术抗凝剂普通肝素、低分子肝素及达那肝素阿加曲班或其他凝血酶抑制剂抗血小板药阿司匹林氯吡格雷替罗非班和依替巴肽扩容、舒张血管及诱导高血压血管收缩剂白蛋白扩容剂己酮可可碱机械性血流增强神经保护剂他汀类亚低温经颅近红外激光高压氧其他神经保护剂外科干预颈动脉内膜切除术AntithromboticHeparinThrombolyticHemodilutionCytoprotectiveNimodipineBarbituratesNaloxoneglutamate antagonistsamphetaminesSurg