Yamashita T, Hayashida O, Nagamitsu T, Nagatsuna T, Wakuta Y, Fudaba H
Department of Neurosurgery, Central Hospital of Yamaguchi, Yamaguchi University, Japan.
Keio J Med. 2000 Feb;49 Suppl 1:A141-4.
Cerebral blood flow changes by argatroban in the acute stage of cerebral thrombosis have been investigated with the use of stable xenon computed tomography (Xe/CT). The study group consisted of 14 cases (7 males, 7 females) with the average age of 59 years old (ranging from 21 to 79 years of age). We evaluated the cerebral blood flow change after an intravenous drip infusion of 10 mg of argatroban. After the administration of argatroban, we recognized a significant increase in the blood flow (24.4 +/- 5.0 ml/100 g/min to 28.4 +/- 2.7 ml/100 g/min, p < 0.05) in the blood flow area of lower than 30 ml/100 g/min in the affected vascular territory. As a conclusion, we found that argatroban improves ischemic symptoms through the amelioration of blood flow in the penumbra area.
已使用稳定氙计算机断层扫描(Xe/CT)研究了阿加曲班在脑血栓形成急性期对脑血流量的影响。研究组由14例患者组成(男7例,女7例),平均年龄59岁(年龄范围21至79岁)。我们评估了静脉滴注10 mg阿加曲班后脑血流量的变化。给予阿加曲班后,我们发现在患侧血管区域脑血流量低于30 ml/100 g/min的区域,血流量显著增加(从24.4±5.0 ml/100 g/min增至28.4±2.7 ml/100 g/min,p<0.05)。总之,我们发现阿加曲班通过改善半暗带区域的血流来改善缺血症状。