急性高血压动脉硬化性脑梗死的治疗一直存在争论。在急性脑梗死常用的 3种 (溶栓、扩血管、抗凝 )治疗方法中 ,溶栓法是目前唯一能使脑梗死血管再通的有效方法。近年来随着科学技术的迅猛发展 ,介入动脉溶栓由于其疗效好 ,血管再通率高而倍受关注。就近期介入溶栓的时机、适应症、方法、药物选择及并发症等方面的研究现状作一概述。 The treatment of acute hypertensive atherosclerotic cerebral infarction has been controversial. Thrombolysis is the only effective method of revascularization of cerebral infarction in the three kinds of commonly used treatment of acute cerebral infarction (thrombolysis, vasodilation, anticoagulation). In recent years, with the rapid development of science and technology, interventional arterial thrombolysis has drawn much attention because of its good curative effect and high recanalization rate. On the recent intervention in the timing of thrombolytic therapy, indications, methods, drug selection and complications of the status of research made an overview.