Martin M, Fiebach B J
Geriatrische Klinik, Städtische Kliniken, Duisburg.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:417-20.
The therapeutic regimen used consisted of an ultrahigh streptokinase dosage scheme with an infusion rate of 1.5 million units per hour over a period of 6 hours. Where no immediate clearance occurred or where residual stenoses persisted, a catheter dilation (PTA) was subsequently carried out. Favorable results were achieved in the group of up to 6 week old femoral occlusions with 2 or 3 calf arteries open and an occlusion length below 15 cm. Iliac occlusions responded well to lytic treatment if a 3 month history was not exceeded.
所采用的治疗方案包括超高剂量链激酶给药方案，即每小时输注150万单位，持续6小时。若未立即出现血管再通或仍存在残余狭窄，则随后进行导管扩张术（经皮腔内血管成形术）。对于年龄在6周及以下、有2或3条小腿动脉通畅且闭塞长度小于15 cm的股动脉闭塞患者，治疗效果良好。如果髂动脉闭塞病史不超过3个月，溶栓治疗效果良好。
