急慢性动脉闭塞的介入治疗.pdfVIP

810 2001 11 17 11 1 1 2 1 1 张希全, 鹿咏红, 孙 钢 ,王 洪,杨兴民 ( 1 148 , 255300; 2 ) : PTA 37 ,23 , 14 ; 23 ~ 81,52. 9Seldinger , , ) , ,10000 u/ l,30~ 80 u, 55 u17 PTA 95%(35/ 37) 91%( 21/23) , 78%( 18/23) , 13% ( 3/ 23), 2 9%( 2/ 23) ,93%( 13/ 14) , PTA 100%( 14/ 14) , PTA :; ;; :R543.5 :A : 1002- 1671(2001) 11- 0810- 03 Interventional Therapy for Acute and Chronic Arterial Occlusion ZH A N G X i - quan, L U Yong - hong , S UN Gang , WAN G H ong , YA N G X ing - min ( PL A 148t h H osp ital , Zibo 255300, Chi na) ABSTRACT:Objective To discuss the clinic efficiency and value of intravascular infusion and PTA for treat ent of acute and chronic arterial occlusion. Methods 37 patients, 23 ales and 14 fe ales, aged 23~ 81 years, ean 52. 9 years, underwent Seldinger techniqe. Percutaneous puncture fe oral artery anterograde or retrocatheteris with pulsed- spray or injection thro bolysis. T he concentration of urokinase was 10000u/ l,total300~ 800 thousandsu, ean 550 thousands u. 17 patients with chronic arterial occlusion were theated with PTA. Results T he rate of success all patients with interventional therapy was 95 percent(35/ 37). The rate of success with acute arterial occlusion was 91percent( 21/23) .In 23 cases, 18 were obtained thro bolysis co pletely( 78 percent ) and thro bolysis partly were 3( 13 percent )and unaffected were2(9 percent) .In chronic patients thro bolysis partly was 93 percent.T he rate of success with PTA was 100 percent( 14/ 14) . Conclusion The thro bolysis therapy is afirst selection the