Mob stroke ischemic stroke (AIS) yog ib qho kev cuam tshuam loj lossis cuam tshuam ntawm cerebral ntshav txaus los ntawm yam xws li atherosclerosis thiab thrombosis ntawm cerebrovascular thiab carotid hlab ntsha, uas ua rau necrosis ntawm paj hlwb hauv ischemia thiab hypoxia. Nws muaj qhov pib mob hnyav thiab mob siab heev, kev tsis taus thiab kev tuag. Feem ntau cov kev kho mob rau AIS suav nrog thrombus aspiration thiab intravenous thrombolysis. Intravenous thrombolysis tuaj yeem ua tiav cov txiaj ntsig zoo, tab sis nws lub sijhawm kho lub qhov rais yog nqaim, thiab cov neeg mob feem ntau tsis nco lub sijhawm zoo tshaj plaws rau thrombolysis, thaum daim ntawv thov kev kho mob intravascular interventional yog dav dua. Cov kev kho mob ntawm cov hlab ntsha thrombolysis thiab kev kho intravascular interventional yog txawv nyob rau lub sijhawm sib txawv.
Cov kev tshawb fawb tau pom tias tag nrho cov txiaj ntsig zoo ntawm cov hlab ntsha thrombolysis rau AIS cov neeg mob nyob rau hauv 4.5 teev ntawm qhov pib yog 91.67%, thaum tag nrho cov txiaj ntsig zoo ntawm cov neeg mob pib ntawm 4.5 mus rau 12 teev raug txo mus rau 78.33%, qhia tias cov ntshav thrombolysis muaj qhov loj. Lub sij hawm qhov rais txwv thiab cov nyhuv thrombolysis tsis zoo rau cov neeg mob uas muaj vascular stenosis. Yog li ntawd, kev pab txhais tau hais tias xws li kev kho mob intravascular interventional feem ntau yog siv hauv kev kho mob los ua kom muaj kev kho mob sab nraum lub sijhawm zoo tshaj plaws ntawm cov hlab ntsha thrombolysis. Tam sim no, intravascular interventional kho muaj xws li balloon dilatation, stent placement, thrombus aspiration, thiab lwm yam. Kev kho intravascular interventional hais nyob rau hauv tsab xov xwm no yog thrombus aspiration, uas muaj ib tug me me qhov txhab thiab muaj peev xwm dilate cov hlab ntsha. Nws siv cov tshuab thev naus laus zis los kho cov hlab ntsha hauv lub luag haujlwm thiab tiv thaiv atherosclerotic plaques los ntawm kev poob thiab thaiv cov hlab ntsha, txo qis cov hlab ntsha rov qab, thiab muaj kev kho mob zoo.
Lub sij hawm qhov rais ntawm cov hlab ntsha thrombolysis ua ke nrog thrombus aspiration yog qhov tseem ceeb heev. Tom qab qhov kev kho mob thrombolysis tau ua tom qab qhov pib ntawm tus kab mob, qhov txo qis ntawm cov hlab ntsha rov qab ua haujlwm, thiab thrombolysis hauv 2 teev yog qhov zoo tshaj plaws. Cov neeg mob uas muaj lub sijhawm kho mob thrombolysis ntev dua yuav muaj kev puas tsuaj rau lub paj hlwb ntau dua li cov neeg mob uas tau txais kev kho mob nyob rau lub sijhawm luv luv tom qab qhov pib ntawm tus kab mob. Cov kev tshwm sim ntawm cov neeg mob uas tau txais thrombolysis lig yog phem dua li cov neeg mob uas tau txais kev kho mob nyob rau hauv ib tug luv luv lub sij hawm ntawm lub sij hawm tom qab pib ntawm tus kab mob, thiab lawv muaj peev xwm ua neej nyob txhua hnub tom qab phais kuj tsis zoo (tsuas yog kuaj noj mov, hnav khaub ncaws, taug kev, thiab lwm yam). .).
Nws yog qhov paub zoo tias qhov kev cia siab ntawm cov neeg mob uas muaj kab mob cerebrovascular yog ncaj qha ntsig txog qhov mob tam sim ntawd. Qhov kev kho mob ua ntej, qhov kev cia siab zoo dua thiab muaj peev xwm ua neej nyob txhua hnub ntawm AIS cov neeg mob. Ib txoj kev tshawb nrhiav pom tias cov ntshav siab sib txawv-txog qhov tsis sib xws ntawm AIS cov neeg mob uas muaj cov tsos mob tsis zoo tau nce ntxiv, qhia tias qhov kev mob tshwm sim ntawm cov neeg mob muaj feem cuam tshuam nrog kev tsis txaus ntawm lub paj hlwb. Nws tau kwv yees tias lub sijhawm ua ntej lub sijhawm thrombolysis, qhov zoo dua ntawm tus neeg mob lub paj hlwb rov qab los thiab kev kwv yees, qhia tias kev tswj cov ntshav siab hauv cov neeg mob AIS tuaj yeem txhim kho qib kev soj ntsuam. Piv nrog rau cov kev kho mob uas tsis muaj kev cuam tshuam, AIS cov neeg mob uas tau txais thrombus aspiration nyob rau hauv 6 mus rau 24 teev ntawm qhov pib tsis muaj qhov sib txawv ntawm qhov kev pheej hmoo ntawm intracranial hemorrhage hauv 72 teev, tab sis muaj zog muaj peev xwm ua neej nyob txhua hnub tom qab 3 lub hlis.
Hauv cov ntsiab lus, nyob rau hauv 4.5 teev ntawm qhov pib, cov hlab ntsha thrombolysis ua ke nrog thrombus aspiration ntawm AIS cov neeg mob muaj qhov siab tshaj plaws vascular recanalization tus nqi, qib kev soj ntsuam tus neeg mob zoo, muaj peev xwm ua neej nyob txhua hnub, thiab kev nyab xeeb zoo.