患者，女，65岁。突发意识障碍2小时来院，言语不能，吞咽困难。左侧肢体肌力约III级，肌张力正常，入院NIHSS评分18分，头颅CT平扫未见明显异常，血压165/89mmHg，血糖7.6mo1/L。该患者的首选治疗方式是

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