“第一时间”改善脑血循环在非溶栓缺血性脑血管病仍然有重要的治疗意义

摘要

理论上缺血性脑血管病治疗有多个靶点，但是在临床治疗实践中改善脑血循环是第一位的特异性治疗方法。然而，在中国只有1.6%的缺血性脑血管病患者能够得到“时间窗”内的静脉溶栓治疗。那么非溶栓缺血性脑血管病患者在“第一时间”是否还需要积极治疗？我们在临床治疗实践中体会到：在“第一时间”改善脑侧支血循环及微血循环，增加缺血区有效灌注仍然是最重要的治疗原则。%Despite the existence of numerous therapeutic targets for acute ischemic stroke in theory,improving the blood supply to the brain comes first in clinical practice.Thrombolysis constitutes the only approved therapy for acute ischemic stroke.However,only 1.6% of the patients with acute ischemic stroke received thrombolytic therapy within the time window in China.And the question raises:what else could we do for non-thrombolysis patients after acute cerebral infarction right the first time? In clinical practice,we found that the key to treat the patients with ischemic cerebrovascular disease is still to improve and recover cerebral perfusion,and the cerebral collateral circulation plays an important role right the first time.