介入性溶栓治疗动脉血栓19例报告  

Interventional thrombolysis for treatment of arterial thrombus(19 cases reported)

作　　者：杜伟[1] 罗开元[1] 柴汝昌 林世杰[1] 时德[2] 张庆丰[1] 

机构地区：[1]云南省第二人民医院放射科,昆明650021 [2]重庆医科大学第一附属医院血管外科

出　　处：《临床外科杂志》2003年第5期320-321,共2页Journal of Clinical Surgery

摘　　要：目的探讨动脉血栓的介入性溶栓治疗的临床价值.方法对19例动脉血栓病人采用选择性血管内溶栓及经皮穿刺血管成形术(PTA).结果本组平均溶栓时间3.7 h,尿激酶平均用量45×105 IU,溶栓治疗成功率94.74%(18/19),14例血管完全开通,4例部分开通,1例无效.4例PTA,2例明显改善.结论动脉血栓的介入性溶栓治疗效果显著,可作为治疗血栓闭塞性疾患优先选择的方法.Objective To evaluate the efficiency of interventional thrombolysis for treatment of arterial thrombus and discuss the problems of its clinical use. Methods 19 patients, 14 male and 5 females, aged 36～83 years. After angiographically demonstrated, selectivity intravascular thombolysis and percutaneous transluminal angioplasty (PTA) were performed. Results The mean time of thrombolysis was 3.7 hours, the mean dose of urokinase was 45×10~5 IU. The successful ratio is 94.74% (18/19) in intravascular thrombolysis. In 19 cases, 14 were obtained thrombolysis completely, the cases of thrombolysis partly and unaffected were 4 and 1. Conclusions The treatment of thrombolysis is highly beneficial to the patients with intravascular occlusive disease, and it is a preferential procedure of intravascular occlusive disease.

关 键 词：血栓栓塞 介入治疗 溶栓 经皮穿刺血管成形术 

分 类 号：R543[医药卫生—心血管疾病]