用组织窗代替传统时间窗指导急性脑梗死的再灌注治疗 Treatment of Acute Cerebral Infarction Guided by Tissue Window Instead of Time Window

Abstract

卒中目前是导致我国居民死亡的第一位原因，近年来再灌注治疗在急性缺血性卒中的治 疗中取得重大进展。用传统的时间窗来筛选患者已经显示出越来越多的局限性，而利用组织窗再灌 注治疗却显示出很多优势。本文对组织窗和时间窗的不足和优势以及组织窗的评价方法进行了综述。 Abstract: Stroke is the first cause of mortality in China. Reperfusion therapy for acute ischemic stroke (AIS) has made great progress in recent years. Using time window to screen AIS patients for thrombolysis has many limitations, while the treatment guided by tissue window has shown many advantages. In this article, the advantages and disadvantage of tissue window and time window, as well as the evaluation methods of tissue window are reviewed.

Keywords

• 卒中
• 血管内治疗
• 组织窗
• 时间窗
• 机械取栓
• stroke
• endovascular therapy
• tissue window
• time window
• mechanical thrombectomy