脑梗死溶栓治疗研究的新进展

来源:岁月联盟 作者:于路 张剑平 时间:2017-03-19
       4.5血压:急性脑梗死后最初的24小时血压是rt-PA相关性颅内出血的独立危险因素之一,这个结论也被现在的许多研究结果证实[13,17]。起病24小时内严格的血压控制(BP≤185/110mmhg)是预防溶栓后出血的重要条件。
        4.6高血糖:数个研究结果同样验证了治疗前的高血糖与溶栓后出血相关[17,19],在一项研究中,血糖>11.11mmol/l的患者使用rt-PA后其颅内出血率为25%[19]。而在动脉溶栓的PROACT研究中也得出了同样的结论。因此,有学者提出治疗前血糖>22.22mmol/l也应作为溶栓的禁忌症。
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