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急性脑梗死溶栓药物及安全性研究 被引量:5

Safety of Thrombolytic Agents for Acute Cerebral Ischemic Stroke
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摘要 急性脑梗死是公认的高致死率、高致残率、高复发率疾病。目前治疗急性脑梗死最有效的方法是溶栓治疗,但溶栓具有出血、神经毒性、过敏等不良反应,影响治疗安全性,给临床应用带来了局限性。该文就国内部分常用的溶栓药物(链激酶、尿激酶、重组组织型纤溶酶原激活剂)以及热点新型溶栓药物(孟替普酶、替奈普酶、去氨普酶、纳豆激酶等)的安全性进行总结,并展望溶栓药物的发展方向。 Acute cerebral infarction is recognized as the disease of high mortality, high morbidity and high recurrence rate. The most effective method to the acute cerebral infarction is thrombolytic therapy. But thrombolysis has side effects of bleeding, neurotoxicity, allergy etc. , which impact the security of the treat- ment,bring limitations to the clinical application. Here is make a summary of the safety of commonly used thrumbolytie drugs, including streptokinase, urokinase, rt-PA, and hot new thrombolytic drugs, including monteplase, desmoteplase, tenecteplase, nattokinase etc. , and a prospect of thrombolytic drugs' development.
作者 鲍宇 李国忠
出处 《医学综述》 2013年第11期2059-2061,共3页 Medical Recapitulate
关键词 溶栓药物 急性脑梗死 溶栓 安全性 Thrombolytic agents Acute ischemic stroke Thrombolysis Safety
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  • 1周先丽,雷丹青,雷卓青.尖吻蝮蛇毒抗凝与纤溶组分对动物血栓的溶栓效应[J].中国临床康复,2006,10(3):77-79. 被引量:8
  • 2李玉娜,许云禄.蛇毒中的抗血栓物质[J].海峡药学,2006,18(3):14-16. 被引量:12
  • 3毛建平,孙志贤.蛇毒纤维蛋白原水解酶[J].动物学杂志,1997,32(2):50-55. 被引量:16
  • 4TheNationalInstituteofNeurologicalDisordersandStrokertPAStrokeStudyGroup.Tissueplasminogenactivatorforacuteischemicstroke[].NEngJMed.1995
  • 5MulticenterAcuteStrokeTrialItaly(MAST I)Group.Randomisedcontrolledtrialofstreptokinase,aspirinandcombinationofbothintreatmentofacuteischemicstroke[].The Lancet.1995
  • 6Hacke W,Bluhmki E,Steiner T,et al.Dichotomized efficacy end points and global end-point analysis applied to the ECASS in tention-totreat data set.Post hoc analysis of ECASS Ⅰ[].Stroke.1998
  • 7Memezawa H,Simith ML,Siesjo BK.Penumbral tissue salvaged byreperfusion following middle cerebral artery occlusion in rats[].Stroke.1992
  • 8Overgarrd K,Sereghy T,Boysell G,et al.Reduction of infarct volume by thrombolysis with rt-PA in an embolic rat stroke model[].Scandinavian Journal of Clinical and Laboratory Investigation.1993
  • 9Del Zoppo GJ,Pessin MS,Mori E,et al.Thrombolytic intervention in acute thrombolic and embolic stroke[].Seminars in Neurology.1991
  • 10The ECASS Study Group.Intravenous thrombolysis with recombinant tissue plasminogen activator for acute he mispheric stroke[].The Journal of The American Medical Association.1995

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  • 1高艳玲,赵世刚.心源性脑栓塞的临床分析及临床防治[J].医学信息(医学与计算机应用),2014,0(12):661-661. 被引量:1
  • 2薛慎伍,张兆岩,薛源.老年脑卒中防治进展与新技术[M].北京:人民军医出版社,2012.269-271.
  • 3Haley E C Jr, Thompson J L,Grotta J C,et al. Phase IIB/III trial of tenecteplase in acute ischemic stroke- results of a pre- maturely terminated randomized clinical trial[J]. Stroke, 2010, 41(4):707-711.
  • 4Sugg R M, Noser E A, Shaltoni H M, et al. Intra arterial rete- plase compared to urokinase for thrombotytic recanalization in acute ischemic stroke[J]. AJNR Am J Neuroradiol, 2006,27 (4) :769-773.
  • 5Lees K R,Bluhmki E,von Kummer R,et al. Time to treat- ment with intravenous alteplase and outcome in stroke;an up- dated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials[J]. Lancet, 2010,375 (9727) : 1695-1703.
  • 6Ciccone A, Valvassori L, Ponzio M, et al. Intra-arterial or in- travenous thrombolysis for acute ischemie stroke? The SYN- THESIS pilot trial[J]. J Neurointerv Surg, 2010,2 (1) : 74-79.
  • 7Broderick J P,Palesch Y Y,Demchuk A M, et al. Endovascular therapy alter intravenous t-PA versus t-PA alone for stroke[J]. N Engl J Meal,2013,368(10) :893-903.
  • 8Micieli G, Marcheselli S,Tosi P A. Safety and efficacy of alte- plase in the treatment of acute ischemic stroke [J]. Vasc Health Risk Manag,2009,5(1):397-409.
  • 9Bhatnagar P, Sinha D, Parker R A, et al. Intravenous throm bolysis in acute ischaemic stroke:a systematic review and rec- ta-analysis to aid decision making in patients over 80 years of age[J]. J Neurol Neurosurg Psychiatry,2011,82(7):712-717.
  • 10李小刚.急性卒中患者rt-PA静脉溶栓筛选与决策[N].中国医学论坛报,2010-12-11.

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