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急性缺血性卒中的静脉溶栓治疗:从阿替普酶到替奈普酶。

Intravenous thrombolysis for acute ischemic stroke: From alteplase to tenecteplase.

作者信息

Yang Nan, Lee Hangil, Wu Chuanjie

机构信息

Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA.

出版信息

Brain Circ. 2023 Jun 30;9(2):61-63. doi: 10.4103/bc.bc_70_22. eCollection 2023 Apr-Jun.

Abstract

Stroke is one of the primary causes of morbidity and death worldwide. While intravenous (IV) thrombolysis with alteplase has been widely proven to be beneficial for acute ischemic stroke patients, it still has many limitations. Tenecteplase, a revised version of alteplase, is a potential alternative IV thrombolytic agent that has benefits over alteplase. The aim of this mini-review is to summarize the advancements in IV thrombolysis for severe ischemic stroke, specifically the development and transition from alteplase to tenecteplase.

摘要

中风是全球发病和死亡的主要原因之一。虽然静脉注射阿替普酶进行溶栓已被广泛证明对急性缺血性中风患者有益,但它仍有许多局限性。替奈普酶是阿替普酶的改良版,是一种潜在的静脉溶栓替代药物,比阿替普酶更具优势。这篇小型综述的目的是总结重症缺血性中风静脉溶栓的进展,特别是从阿替普酶到替奈普酶的发展和转变。

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