推荐回答（5个）
药物治疗
抗血小板治疗
常用药物阿司匹林、氯吡格雷，根据病情轻重选择单抗或者双抗。
抗凝治疗
常用药物肝素、低分子肝素、华法林、新型口服抗凝血药。
降纤类药物
降纤酶
目的是改善神经状态功能，降低脑血栓复发率，但会增加脑出血的发生率，需要严格遵医嘱进行服用。
巴曲酶
目的是降低脑血栓患者的致死率、致残率，但存在出血倾向。
控制血脂类药物
他汀类药物
可改善脑血栓患者的预后，且预防复发，但可能会引发肾功能衰竭。
改善微循环类药物
丁苯酞
目的是改善缺血区域的循环情况和神经功能缺损状态。
人尿激肽原酶
目的是改善脑动脉的循环状态。
脑血栓一旦发病应立即入院治疗，急性期在时间窗内须进行药物静脉溶栓治疗，如大血管闭塞，溶栓效果不佳，则需进行动脉导管插管支架取栓手术；病情稳定后需进行康复治疗，包括肢体功能训练、语言功能训练等，其中可能涉及中医治疗；康复期内还须进行药物治疗、生活方式指导等，包括阿司匹林、他汀类药物等，可能需要终身服用。
临床上，如果脑血栓形成为急性期患者，发病时间在6小时内，且无溶栓禁忌症，应在早期给予溶栓治疗。如果溶栓患者溶栓后没有好转，可考虑大血管栓塞，并可采用介入血栓切除术，一般取得很好的效果。但是，如果患者通过溶栓时间窗或有溶栓禁忌症，临床治疗只能采取综合治疗。给患者改善脑供血、抗血小板、降低颅内压、防止病变扩大和一些危及生命的情况。急性期后可进行康复治疗。
在脑血栓形成后，一般在12小时之内就要做溶栓治疗，如果错过了最佳溶栓的时间，那就建使用扩张脑血管营养脑神经的药物治疗，相对效果比较好一些，平时多休息、避免过于劳累，一般需要治疗1到2周以后才能够控制疾病，另外，如果是有高血压、高血脂，需要服用降压和降脂的药物治疗。
治疗脑血栓主要是根据患者发生血栓的部位以及什么时候发病的来定制治疗的方案，脑血栓分急性发作期、康复期、后遗症期；出院后的3~12周内是脑血栓的最佳康复期，可以在家配合医生的医嘱进行功能上的训练。
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