摘要
目的 探索基底动脉尖综合征的治疗经验。方法 总结我们医院神经内科2021年9月收治的1例基底动脉尖综合征病人的治疗经验。结果 病人主诉反复头晕1天。完善颅脑CT提示脑梗死，患者已超溶栓时间窗，请示上级医师后，建议积极行全脑血管造影+基底动脉支架植入术+动脉血栓抽吸术。术后给与双抗、替罗非班持续泵入等对症治疗，积极预防并发症，成功救治病人。结论 早期行全脑血管造影+基底动脉支架植入术+动脉血栓抽吸术，联合抗血小板聚集、抗动脉硬化稳定斑块、改善循环、替罗非班持续泵入的综合治疗方案是基底动脉尖综合征治疗的关键。
关键词： 基底动脉尖综合征；脑血管造影；替罗非班；治疗经验
Abstract
Objective To explore the treatment experience of base artery tip syndrome. Methods Summarize the treatment experience of 1 case of base artery tip syndrome patients in June 2021, 2021. Results The patient's complaint repeated dizziness for 1 day. Perfecting the craniocerebral CT suggests cerebral infarction, and the patient has been super-strihy sums, please show the superior physician, it is recommended to actively use the cerebral angiography + basilar arterial stent implant + arterial thrombosis. After surgery, a symptomatic treatment such as double-resistant, tantone, and actively preventing complications and successfully treating patients. Conclusion Early cerebral angiography + basilar arterial stent implant + arterial thrombosis, combined anti-platelet aggregation, anti-arteriosclerosis stable plaque, improve circulation, the comprehensive treatment plan for continuous pump in Tierofban is basilar artery The key to tip syndrome treatment.
Key words： Basilar Arterial Syndrome; Cerebrovascular Angiography; Trienda; Treatment Experience
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