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溶栓治疗的出血并发症

Hemorrhagic complications of thrombolytic therapy.

作者信息

Vujković Zoran, Racić Dusko, Miljković Sinisa, Dajić Vlado

机构信息

Department of Neurology, Clinical Center Banjaluka, Bosnia and Herzegovina.

出版信息

Med Pregl. 2012 Jan-Feb;65(1-2):9-12.

Abstract

Stroke is the most frequent neurological disorder, and the most common cause of severe disability compared to other diseases. Recombinant tissue plasminogen activator (rt-PA) is the only approved specific therapy for acute ischemic stroke. Hemorrhage is a significant complication of thrombolytic treatment. This study, which included a hundred patients (52 male and 48 female), was aimed at assessing the safety according to our experience with 100 thrombolytic treatments for stroke. The death rate related to hemorrhage after thrombolysis was 3%. The frequency of hemorrhagic events (hemorrhagic infarctions type 1 and 2, parenchymal hematomas type 1 and 2) was 16%. The study results have shown that the intravenous recombinant tissue plasminogen activator (rt-PA) therapy is safe.

摘要

中风是最常见的神经系统疾病,与其他疾病相比,也是导致严重残疾的最常见原因。重组组织型纤溶酶原激活剂(rt-PA)是唯一被批准用于急性缺血性中风的特异性治疗方法。出血是溶栓治疗的一个重要并发症。本研究纳入了100名患者(52名男性和48名女性),旨在根据我们对100例中风溶栓治疗的经验评估其安全性。溶栓后与出血相关的死亡率为3%。出血事件(1型和2型出血性梗死、1型和2型脑实质血肿)的发生率为16%。研究结果表明,静脉注射重组组织型纤溶酶原激活剂(rt-PA)治疗是安全的。

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