静脉溶栓后强化抗栓联合早期康复治疗内囊 预警综合征1例
One Case of Capsular Warning Syndrome Treated with Intensive Antithrombotic Therapy Combined with Early Rehabilitation after Intravenous Thrombolysis
DOI: 10.12677/acm.2026.1662306, PDF,   
作者: 李 娜*：延安大学延安医学院，陕西 延安；延安大学附属医院神经内科，陕西 延安；薛艺东：延安大学附属医院神经内科，陕西 延安
关键词: 内囊预警综合征；静脉溶栓；替罗非班；康复治疗；Capsular Warning Syndrome； Intravenous Thrombolysis； Tirofiban； Rehabilitation Therapy
摘要: 内囊预警综合征(capsular warning syndrome, CWS)是一种高危的短暂性脑缺血发作，在TIA中占比低，但进展为完全性脑梗死的风险极高，需引起临床医生的重视。目前内囊预警的发病机制尚不清楚，多数认为与大动脉粥样硬化阻塞穿支、穿支动脉本身粥样硬化有关。且缺乏公认的标准治疗方案。本案例提供了一种积极、多模式的治疗策略，对面临类似挑战的临床医生具有重要的参考价值和借鉴意义。
Abstract: Capsular warning syndrome (CWS) is a high-risk transient ischemic attack that accounts for a low proportion of TIA, but the risk of progressing to complete cerebral infarction is extremely high, which needs to be paid attention to by clinicians. At present, the pathogenesis of internal capsule warning is unclear, and most people believe that atherosclerosis is related to the obstruction of the perforator and the atherosclerosis of the perforator artery itself. And there is a lack of a recognized standard treatment regimen. This case provides an active and multimodal treatment strategy, which has important reference value and significance for clinicians facing similar challenges.
文章引用：李娜, 薛艺东. 静脉溶栓后强化抗栓联合早期康复治疗内囊 预警综合征1例[J]. 临床医学进展, 2026, 16(6): 1012-1019. https://doi.org/10.12677/acm.2026.1662306

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