早期脑梗死如何治疗 董洪亮 吉林省脑科医院

早期脑梗死如何治疗 董洪亮 吉林省脑科医院
发病6小时内无禁忌症的可以溶栓治疗，使用阿替普酶或尿激酶；急性期治疗主要以抗血小板聚集，改善血管、营养神经、调脂、稳定斑块去对症治疗。脑梗死一般不应用手术治疗，大面积脑梗死急性期可以考虑取栓治疗，大面积脑梗死患者可以采取去骨瓣减压，降低致死率。

How to treat early cerebral infarction
If there is no contraindication within 6 hours after the onset of the disease, thrombolysis can be used, Use of ateplase or urokinase; In the acute stage, antiplatelet aggregation is the main treatment, It can improve blood vessels, nourish nerves, regulate lipid and stabilize plaque. Generally, cerebral infarction is not treated by surgery, In the acute stage of large area cerebral infarction, thrombectomy can be considered, The patients with massive cerebral infarction can be decompressed by osteotomy, Reduce the fatality rate.