动脉内联合灌注尿激酶、丹参及肝素的溶栓效果观察  

Investigation on the Thrombolytic Effect of Transcatheter Intra-Arterial Infusion of Urokinase,Injectio Salviae Miltiorrhizae and Heparin

作　　者：蒋晓东[1] 周胜利[1] 刘希胜[1] 周新萍[1] 

机构地区：[1]连云港市第一人民医院影像科,222002

出　　处：《介入放射学杂志》1997年第4期208-209,共2页Journal of Interventional Radiology

摘　　要：目的:评估经导管动脉内联用尿激酶、丹参及肝素溶栓的临床效果。材料和方法:经股动脉穿刺,将5F 导管插入至血栓近心端,经导管注入尿激酶、丹参,术中术后配合肝素抗凝,然后行血管造影,评估治疗效果。结果:血管完全通畅者10例,通而不畅者1例,无效者1例,总有效率为92%。结论:经导管动脉内联用尿激酶、丹参、配合肝素抗凝治疗外周动脉栓塞是一种有效、安全的治疗方法。Purpose:To evaluate the thrombolytic effect of transcatheter intra-arterial infusion of urokinase injectio salviae miltiorrhizae and heparine.Materials and methods:A 5F catheter was delivered to the thrombotic site via femoral artery,then infused urokinase.Injectio salviae mihionrrhizae via catheter.During and after the procedure heparin was given for antico- agulation.Finally to evaluate the effect by femoral arteriograms.Results:Blood circulation of 10 eases were inproved with complete pateney.One case wasn't very fluent and the last one remained obstructed.Total effective rate was 92%.Conclusion:Transcatheter Intraarterial thrombolysis by combing urokinase,injeetio salviae miltiorrhizae and heparin was a effective and safe theraputic method.

关 键 词：动脉灌注 尿激酶 丹参 肝素 溶栓 动脉疾病 

分 类 号：R543.5[医药卫生—心血管疾病]