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外周动脉血栓栓塞介入溶栓治疗的应用及价值

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目的:探讨外周动脉血栓栓塞介入溶栓治疗的应用及价值。方法:选取我院收治的15例外周动脉血栓患者,在DSA下Seldinger法将动脉导管置入患者肢体动脉,行常规血管造影,明确病变部位,然后将导管导丝插入,将溶栓导管引入血栓内,注入尿激酶溶栓,并通过造影确认,依据血栓溶解情况调整尿激酶用量及导管位置。结果:经过介入溶栓治疗,15例均有效,其中部分开通5例,显示为前向血流缓慢,管壁呈不规则长段狭窄,但均未超过30%;完全开通10例,造影显示为恢复快速前向血流,管壁仅有少于30%的局限性狭窄或较为光滑。结论:外周动脉血栓栓塞介入溶栓治疗安全有效、成功率高,是治疗外周动脉血栓栓塞的首先方法,值得临床推广应用。
objective to explore the peripheral arterial thromboembolism the application and value of interventional thrombolysis treatment. Methods select our hospital 15 exception, peripheral arterial thrombosis patients under DSA Seldinger method will artery in patients with limb artery catheterization, conventional angiography, pathological changes of clear, and then insert the catheter godet, in-troducing thrombolysis catheter thrombosis, injection of urokinase thrombolysis, and through the angiography confirmed, according to adjust the dose of urokinase thrombolysis situation and position. The results of After interventional thrombolysis treatment, 15 cases were effective, some of them opened in 5 cases, display for the former to the blood stream is slow, long wall become irregular stenosis, but have not more than 30%;Fully opened 10 cases, angiography showed to restore blood flow to fast forward, only less than 30%of the limitation of the narrow wal or relatively smooth. Conclusion peripheral arterial thromboembolism interventional thrombolytic therapy is safe and effective, the success rate is high, is the treatment of peripheral arterial blood Chuan embolism method first, is worthy of clini-cal popularization and application.

peripheral arteryThromboembolismFibrinolytic therapy

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湖南省岳阳市三人民医院介入放射科 414000

外周动脉 血栓栓塞 溶栓治疗

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(5)
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