Denck H, Fischer M, Olbert F, Falkensammer C, Gauss P, Jonas M
Wien Klin Wochenschr. 1975 Sep 19;87(17):550-6.
The treatment of acute arterial occulsion, especially emboli and also thromboses associated with a complete ischaemia is the domain of the surgeon. Subacute or chronic arterial occlusion -- uni- or myltilocular --are suited for a trial of thrombolytic therapy, with an approximate success rate of 40%. When thrombolysis is contraindicated, then transluminal dilatation according to Dotter can be attempted in cases of short stenosis. A new and successful indication for thrombolysis is in the therapy of cases of late reocclusion after vascular reconstructive operations. The preliminary results in this field are very good, especially in the aortoiliac region. The indications, the practical details, the results and complications of thrombolytic therapy with streptokinase are discussed.
急性动脉闭塞的治疗，尤其是栓子以及伴有完全缺血的血栓形成，属于外科医生的领域。亚急性或慢性动脉闭塞——单腔或多腔——适合进行溶栓治疗试验，成功率约为40%。当溶栓治疗禁忌时，对于短段狭窄病例可尝试采用Dotter经腔扩张术。溶栓治疗的一个新的成功适应证是血管重建手术后晚期再闭塞病例的治疗。该领域的初步结果非常好，尤其是在主髂动脉区域。本文讨论了链激酶溶栓治疗的适应证、实际操作细节、结果及并发症。
