Popliteal vein perfusion after thrombolysis for acute lower extremity deep vein thrombosis of 35 cases.doc

 PAGE \* MERGEFORMAT 16 Popliteal vein perfusion after thrombolysis for acute lower extremity deep vein thrombosis of 35 cases [Abstract] Objective To study the direct popliteal vein catheter infusion thrombolytic treatment of acute lower extremity deep venous thrombosis of clinical value. Methods of acute deep vein thrombosis in 35 patients, including 7 patients with pulmonary embolism, in B-guided thrombolytic infusion into the popliteal vein to the iliac and femoral vein catheter thrombosis in the 3 104 ~ 4 104 U / h micro-pump for continuous injection of urokinase, the total (431.08 + -83.63) 104 U. Results patients symptoms improved after thrombolysis, lower extremity swelling, pulmonary symptoms, before and after thrombolysis patients, the contralateral thigh circumference difference was (5.97 + -1.91) cm, (1.83 + -1.12) cm, with statistical difference significance (t = 13.56, P lt;0.01); calf circumference difference was (5.47 + -1.37) cm, (1.51 + -0.95) cm, the difference was statistically significant (t = 15.68, P lt;0.01); solution suppository before the vein patency rate (16.31 + -3.84) points, after thrombolysis (5.47 + -4.71) points, venous patency rate was significantly different (z =- 6.616, P lt;0.01), mean venous patency rate was 67.64% . with pulmonary embolism in 7 patients, the emboli is completely dissolved in 6 cases, most of the dissolved in 1 case. All patients had no serious complications. follow-up 32 patients for 3 to 20 months showed no recurrence of thrombosis. Conclusion direct infusion of popliteal venous catheter thrombolysis for acute lower extremity deep vein thrombosis is a safe and feasible treatment, the recent good results. [Keywords:] acute; venous thrombosis; urinary plasminogen activator; popliteal vein Acute lower extremity deep venous thrombosis (deep venous thrombosis, DVT) is a common disease, vascular surgery, limb function in patients with severely affected, often complicated by pulmonary embolism or su