下肢深静脉血栓形成的早期诊治(附45例报告)  

Early Diagnosis of Deep Venous Thrombosis of 45 Cases

作　　者：李春恒 谷秀娟 

机构地区：[1]哈尔滨市第二医院普外科,黑龙江哈尔滨150050 [2]黑龙江省第二医院,黑龙江哈尔滨150010

出　　处：《黑龙江医学》2005年第6期403-404,共2页Heilongjiang Medical Journal

摘　　要：目的探讨深静脉血栓形成早期的诊断与治疗方法。方法本病早期治疗关键是溶栓或取栓,通过在72h内实施,采用尿激酶20万u静点,1次/12h,肝素首剂量500u,30min内滴完,然后用1200u～1600u持续静点。同时监测APTT、PT、PA等有关指标。结果45例中除2例死亡外,均痊愈出院。结论下肢深静脉血栓形成,宜早期采用溶栓治疗,疗效可靠。Objective To discuss the early diagnosis method and treatment of deep venous thrombosis of lower limbs. Methods The urokinase of 0.2 mu and heparin were injected continuously and APTT,PT and PA were observed. Results 43 cases were discharged with healed and 2 dead. Conclusion The thrombolysis should be taken in early stage of lower limbs venous thrombosis with better effect.

关 键 词：下肢深静脉血栓形成 早期诊治 治疗方法 早期治疗 持续静点 APTT 同时监测 痊愈出院 溶栓治疗 72h 尿激酶 首剂量 关指标 

分 类 号：R543.6[医药卫生—心血管疾病] R446.11[医药卫生—内科学]