Huemer M, Niederwieser V, Ladurner G
Neurologische Abteilung, Landes Nerven Klinik, Salzburg, Austria.
J Neurol Neurosurg Psychiatry. 1995 Feb;58(2):227-8. doi: 10.1136/jnnp.58.2.227.
Sixteen patients with acute occlusion of the basilar artery were treated with systemic fibrinolysis. Recanalisation was achieved in 10 patients; five patients survived and 11 patients died. Survival was associated with vascular recanalisation in every case. Most of the survivors were younger than 50. An age above 50 and a comatose state on admission seem to indicate a poor clinical outcome. The problem of multimorbidity in the older age group also affects outcome adversely. Haemorrhagic complications were found in two cases (12.5%), with clinical deterioration in one.
16例基底动脉急性闭塞患者接受了全身纤溶治疗。10例患者实现了血管再通；5例患者存活，11例患者死亡。在每一例中，存活都与血管再通相关。大多数幸存者年龄小于50岁。入院时年龄超过50岁且处于昏迷状态似乎预示着临床预后不良。老年组的多种合并症问题也对预后产生不利影响。2例（12.5%）出现出血并发症，其中1例临床病情恶化。
