摘要
对１４例发病在１２ｈ内的急性心肌梗塞患者，采用尿激酶行冠状动脉内溶栓治疗，总剂量在１５～８０万Ｕ。结果表明：起病在１０ｈ内的１２例实现冠脉再通；起病１２ｈ方实施冠脉内溶栓的２例失败。冠脉再通者临床症状迅速好转，未见出血并发症。用尿激酶行冠脉内溶栓治疗，其时限可放宽至起病后１０ｈ左右。
This paper has studied intracoronary thrombotVsis
disease withtheuse of urohnase in-tracoronary thrombolysis in 14 cases of acute mvocardial
infarction(AMI)within 12 hoursafter onset of the disease。Total doses of urokinase were ranged
from 150000U to 800000Urespectively.According to TIMI standard,reperfusion of infarction
related coronary arterieswere obtainedh12 cases,the treatment was carried out within 10 hours
after the onset ofthe AMI.In another 2 cases,the treatment was postponed to 1 2 hours after the
onset,the at-tempt of reperfusion failed.In the cases of coronary reperfusion,clinical conditions
were in-proving rapidly;in all cases,there were no bleeding complications.The data that up to 1
0hours after the onset of AMI,coronary reperfusion was also possibly obtained by
intracoro-nary thrombolysis of urokinase.
出处
《湖南医科大学学报》
CSCD
1995年第4期365-367,共3页
Bulletin of Hunan Medical University
关键词
心肌梗塞
尿激酶
冠状动脉
溶栓疗法
药物疗法
myocardial infarction
coronarv thrombosis
urokinase
therapeuticuse
drug therapy
