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目的 :观察急性脑梗死溶栓后应用低分子肝素预防再梗死的疗效。方法 :将符合治疗时间窗的急性脑梗死病人 40例溶栓后随机分为两组 :男 10人 ,女 10人 ;对照组男 12人 ,女 8人。观察组在溶栓后 5h加用低分子肝素 5 0 0 0 IUq12h腹壁皮下注射 ,同时两组在溶栓后行常规治疗。结果 :观察组显效率 80 % ,对照组显效率 65 %。观察组有 1例肉眼血尿 ,停药后消失。结论 :低分子肝素能安全有效地降低溶栓后再梗死的几率。
Objective: To observe the curative effect of using low molecular weight heparin to prevent reinfarction after thrombolysis in acute cerebral infarction. Methods: Forty patients with acute cerebral infarction meeting the treatment time window were randomly divided into two groups: 10 males and 10 females. The control group consisted of 12 males and 8 females. The observation group was treated with subcutaneous injection of low molecular weight heparin at 5 0 0 0 IUq 12h 5h after thrombolysis, while the two groups were treated routinely after thrombolysis. Results: Obvious efficiency was 80% in the observation group and 65% in the control group. The observation group had a case of gross hematuria, disappeared after stopping. Conclusion: Low molecular weight heparin can reduce the risk of reinfarction after thrombolysis safely and effectively.