冠状动脉内溶栓治疗急性心肌梗塞
陈淑敏,赵驰,张静,孙喜琢,董剑,汪浩,于光,孟兆清,周庆涛
摘要(Abstract):
1994年12月~1995年12月用尿激酶行冠状动脉内溶栓(PTCR)10例.血管再通为8/10,无严重出血并发症发生.同时PTCR较静脉溶栓适应证拓宽;在直接造影观察下,若PTCR疗效不满意可立即采取冠状动脉成形术(PTCA)进一步治疗;PTCR使完全闭塞血管的再现,又为进一步PTCA标明了导引钢丝的推进途径;在冠状动脉造影下直观血栓溶解状态,可决定溶栓、抗凝药物的及时恰当使用,从而获得满意疗效.本疗法确有用药剂量小、并发症少、血管再通率高、为进一步治疗打下基础等优点.
关键词(KeyWords): 心肌梗塞;尿激酶;溶栓疗法
基金项目(Foundation):
作者(Author): 陈淑敏,赵驰,张静,孙喜琢,董剑,汪浩,于光,孟兆清,周庆涛
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