肢体动脉栓塞和血栓形成溶栓疗效分析(9例临床分析)  

Analysis of the treatment of acute extremity arterial embolism and thrombosis by fibrinolytic agents

作　　者：王钢[1] 黄建群[1] 刘旭 邓春发[3] 

机构地区：[1]中国医科大学第一临床医学院急诊科,沈阳110001 [2]于洪区医院 [3]襄樊市中心医院

出　　处：《急诊医学》2000年第2期98-100,共3页

摘　　要：目的　应用溶栓药物治疗 9例肢体动脉栓塞和血栓形成的病人共 15个肢体 ,对其疗效进行探讨和分析。方法　应用链激酶和栓体舒两种溶栓制剂 ,通过静脉给药方法进行治疗。结果　除一例因肌肾代谢综合症、肾衰、心衰死亡和一个肢体部分截肢以外 ,其余肢体都得到挽救 ,其中三个肢体末端动脉恢复搏动。无一例出现出血等副作用。结论　链激酶和栓体舒静脉溶栓治疗肢体动脉栓塞和血栓形成是一种快速、简单、安全和有效的治疗方法 ,并可和介入。Objective The effect of the treatment of a patients suffering from acute extremity arterial occlusion(15 extremities)with fibrinolytic agents were discussed and analysed.Methods These patients were treated with streptokinase(SK)and recombinant human plasminogen activator(rt-PA) given in travenously.Results Except for one patient died of myonephro metabolic syndrom(MMS),renal failure and heart failure,and another patient with one limb partially amputated,all other limbs were salvaged.The pulsation of dorsal artery reoccurred in 3 patiemts after the treatment.There were no side effects such as bleeding.Conclusion The fibrinolytic therapy with intravenous SK and rt-PA is a safe,simple,rapid and effective treatment in patients with acute extremity arterial embolism and thrombosis.It could also be used supplementarity to other interventional or surgical treatments.

关 键 词：肢体动脉栓塞 血栓形成 链激酶 溶检疗法 

分 类 号：R654.4[医药卫生—外科学]