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[GE-0943与尿激酶冠状动脉内给药的双盲对比研究:多中心研究]

[A double-blind comparative study of intracoronary administration of GE-0943 and urokinase: multicenter study].

作者信息

Kambara H, Kawai C, Kajiwara N, Kammatsuse K, Nitani H, Sasayama S, Kodama K, Sato H, Nobuyoshi M, Nakashima M

出版信息

Kokyu To Junkan. 1989 Jul;37(7):749-56.

PMID:2678331
Abstract

Coronary thrombolysis with plasminogen proactivator, GE-0943, was undertaken in patients with acute myocardial infarction and compared with urokinase. Fifty patients were given 6000 units of GE-0943 intracoronary and the totally occluded infarct-related arteries were recanalized in 92.0%. Fifty-four patients who were given 3000 units of GE-0943 intracoronary demonstrated a recanalization rate of 68.2%, while intracoronary administration of urokinase in 54 patients showed a recanalization rate of 70.4%. There was only one patient with hemorrhagic complication among GE-0943 3000-units group, none among GE-0943 6000-units group, and 5 among urokinase group. Thus, intracoronary administration of GE-0943 is very effective and safe with a dose up to 6000 units.

摘要

采用纤溶酶原激活剂GE - 0943对急性心肌梗死患者进行冠状动脉溶栓治疗,并与尿激酶进行比较。50例患者冠状动脉内给予6000单位GE - 0943,梗死相关动脉完全闭塞者再通率为92.0%。54例冠状动脉内给予3000单位GE - 0943的患者再通率为68.2%,而54例冠状动脉内给予尿激酶的患者再通率为70.4%。GE - 0943 3000单位组仅有1例出血并发症患者,GE - 0943 6000单位组无出血并发症患者,尿激酶组有5例出血并发症患者。因此,冠状动脉内给予GE - 0943剂量高达6000单位时非常有效且安全。

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