【中图分类号】R743.1 【文献标识码】B 【文章编号】1672-5085(2008)03-0177-02

    【摘要】急性脑干梗死是导致中老年人死亡或致残的严重疾病，近年来研究表明，缺血性脑卒中有效治疗的关键在于发病后3~6h内的早期溶栓。目前颈内动脉系统的溶栓已在国内外临床部分应用，而锥基底动脉系统缺血导致的脑干梗死由于存在失语和意识障碍，难于判断疗效，使溶栓危险性增大，故少见报告。

    【关键词】静脉溶栓治疗；超早期重症脑干梗死

    Intravenous thrombolysis ultra-early treatment of severe brain stem infarction Chen Shouhong

    【Abstract】Is the result of acute brain stem infarction in elderly people died of serious illness or disability, the study shows that in recent years, ischemic stroke is the key to effective treatment of disease after 3 ~ 6 h in the early thrombolysis. The current system of internal carotid artery thrombolysis have been part of clinical applications at home and abroad, and the cone system basilar artery ischemia caused by brain stem infarction because of aphasia and awareness of obstacles and difficult to judge effects, increased risk of thrombolysis, the rare report .

    【Key words】Thrombolytic therapy; Ultra-early severe brain stem infarction

    1 病例报告

    患者 ......