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经导管血管内溶栓治疗急慢性动脉闭塞性疾患

印建国 宋锦文 杨艳 贾雄 郑曙光 张亚琴 杨炳飞

西北国防医学杂志2001,Vol.22Issue(1):29-31,3.
西北国防医学杂志2001,Vol.22Issue(1):29-31,3.

经导管血管内溶栓治疗急慢性动脉闭塞性疾患

Transcatheter intraarterial fibrinolysis for arterial occlusions

印建国 1宋锦文 1杨艳 1贾雄 1郑曙光 1张亚琴 1杨炳飞1

作者信息

  • 1. 兰州军区兰州总医院放射科,
  • 折叠

摘要

Abstract

Objective:To evaluate the curative effect,value and method of intravascular thrombolysis in the treatment of acute and chro nic arterial thrombotic lesions.Methods:The catheter izations were laid up through the femoral artery on the healthy side in 6 cases .1 case of diffuse thrombosis of the abdominal aorta below the orifice of renal artery,the catheterization through the humeral artery.The arteriography was empl oyed to denote the site and extent of thrombi firstly,then use the guidewire an d /or catheter to create a“tunnel”in the thrombi,and aspirate the blood clots and bloody materials thoroughly and inject urokinase (500 000 units in 50 ml sa line)slowly with micropump in 3-4 h.Results:1 case of diffuse abdominal aortic thrombosis,2 cases of thrombosis of femoral artery and 2 cases of thrombosis of popliteal artery(totally 5 cases)recanalized in 21.4 h (Average).Only 1 case of traumatic thrombosis of axillary artery failed becaus e of severe arterial trauma. Conclusion:Intravascula r thrombolysis might be a good method to treat arterial occlusive disease.

关键词

动脉闭塞性疾病/放射学/介入性/血栓 溶解疗法/尿激酶

分类

医药卫生

引用本文复制引用

印建国,宋锦文,杨艳,贾雄,郑曙光,张亚琴,杨炳飞..经导管血管内溶栓治疗急慢性动脉闭塞性疾患[J].西北国防医学杂志,2001,22(1):29-31,3.

西北国防医学杂志

1007-8622

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