应用链激酶治疗血管阻塞的患者91例,其病历回顾性分析表明,有3例发生脑血管开发症。 第一例系53岁的妇女,因3周来左手缺血而住院。她有雷诺氏病和偏头痛病史,3年前曾有一次右侧轻度偏瘫发作,历时半小时,肱动脉造影显示左掌弓闭塞。患者接受链激酶25万单位静脉注射,随后每小时10万单位持续滴注。90分钟后,患者前凝 Ninety-one patients were treated with streptokinase for vascular occlusion. A retrospective analysis of the medical records showed that three patients developed cerebrovascular disease. The first case was a 53-year-old woman hospitalized for left-sided ischemia for 3 weeks. She had a history of Raynaud’s disease and migraine, and had a mild hemiplegia on the right three years ago, which lasted for half an hour. Brachial artery angiography revealed a left-sided arch occlusion. Patients received 250,000 units of streptokinase intravenously, followed by continuous infusion of 100,000 units per hour. After 90 minutes, the patient before coagulation