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抗血小板药物与溶栓剂联合溶栓治疗深静脉栓塞治疗机制的研究山西医学院第一附属医院(030001)李正中,贺抗,温柱德,李思晋我们联合应用尿激酶(UK)、前列腺素E1(PGEl)和中药,对56例深静脉栓塞(DVT)病人进行治疗并检测凝血及纤溶指标,以探讨治疗机制及监测指标。材料与方法一、材料:UK:2万单位/Ample,南京大学制药厂提供。10万单位/Ample,太原生化制药厂。PGE1:白求恩医科大学制药厂。60%泛影葡胺,上海信谊药厂。二、病例选择:71例深静脉栓塞(DVT)病人。随机分为二组进行治疗。治疗前均经99mTc-RBC,ECT血管显像及静脉造影确诊。①UK治疗组:54例56肢体,男26例,女28例;年龄22~78岁(48.5±15.92)。病程2天~3年。50例左下肢栓塞,2例左上肢,2例双下肢栓塞。②对照组:15例。男7例,女8例。年龄29~68岁(41.3±20.6)。病程6月~10年。三、治疗方案:①治疗组:UK200000U/日。静脉滴注,3小时滴完,每日一次,同时滴注PGE1200ng/日及中药通脉汤口服,10天为一疗程。根据病情治疗2~3疗程。两疗程间休息3~5大。②对照组:10例静
Antiplatelet drugs and thrombolytic agents combined with thrombolytic therapy of deep vein thrombosis treatment mechanism of the First Affiliated Hospital of Shanxi Medical University (030001) Li Zhengzhong, He Kang, Wen Zhu De, Li Si Jin we combined urokinase (UK), prostaglandin E1 (PGE1) and traditional Chinese medicine (TCM). 56 patients with deep venous thrombosis (DVT) were treated and coagulation and fibrinolysis were measured to explore the therapeutic mechanism and monitoring indicators. Materials and methods First, the material: UK: 20,000 units / Ample, Nanjing University Pharmaceutical Factory. 100,000 units / Ample, Taiyuan Biochemical Pharmaceutical Factory. PGE1: Bethune Medical University Pharmaceutical Factory. 60% diatrizoate, Shanghai Xin Yi Pharmaceutical Factory. Second, the case selection: 71 cases of deep venous thrombosis (DVT) patients. Randomly divided into two groups for treatment. Before treatment were confirmed by 99mTc-RBC, ECT angiography and venography. ①UK treatment group: 54 cases of 56 limbs, 26 males and 28 females; aged 22 to 78 years (48.5 ± 15.92). Course of 2 days to 3 years. 50 cases of left lower extremity embolism, 2 cases of left upper extremity and 2 cases of double extremity embolism. ② control group: 15 cases. 7 males and 8 females. Age 29 to 68 years (41.3 ± 20.6). Duration of 6 months to 10 years. Third, treatment options: ① treatment group: UK200000U / day. Intravenous drip, drip 3 hours, once daily, while drip PGE1200ng / day and traditional Chinese medicine Tongmai Tang oral, 10 days for a course of treatment. According to the disease treatment 2 to 3 courses. Two courses of rest 3 to 5 large. ② control group: 10 cases of static