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茴香酰化纤溶酶原链激酶激活剂复合物与链激酶在急性心肌梗死患者中的安全性及副作用。IRS II研究中期报告。

Safety and side effects of anisoylated plasminogen streptokinase activator complex and streptokinase in patients with acute myocardial infarction. Interim report of the IRS II Study.

作者信息

Monassier J P, Hanssen M

机构信息

Service de Cardiologie, Clinique Saint-Joseph, Colmar.

出版信息

Drugs. 1987;33 Suppl 3:282-5. doi: 10.2165/00003495-198700333-00053.

DOI:10.2165/00003495-198700333-00053
PMID:3315608
Abstract

86 patients with a first myocardial infarction presenting within 6 hours of the onset of symptoms were randomly allocated to treatment with intravenous streptokinase or anisoylated plasminogen streptokinase activator complex (APSAC). Side effects were observed in 34.1% of patients (15 of 44) in the streptokinase group and 23.8% (10 of 42) in the APSAC group. These effects included injection related effects (in 4 patients on streptokinase versus 6 on APSAC) and neurological complications (0 vs 2 patients, respectively). Femoral haematoma accounted for the majority of bleeding events. Death occurred as a consequence of haemorrhage in 2 patients (1 receiving streptokinase and the other APSAC).

摘要

86例在症状发作6小时内首次发生心肌梗死的患者被随机分配接受静脉注射链激酶或茴香酰化纤溶酶原链激酶激活剂复合物(APSAC)治疗。链激酶组34.1%(44例中的15例)的患者和APSAC组23.8%(42例中的10例)的患者出现了副作用。这些副作用包括注射相关反应(链激酶组4例,APSAC组6例)和神经并发症(分别为0例和2例)。股部血肿是出血事件的主要原因。2例患者因出血死亡(1例接受链激酶治疗,另1例接受APSAC治疗)。

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本文引用的文献

1
Coronary thrombolysis for evolving myocardial infarction.进展性心肌梗死的冠状动脉溶栓治疗。
Drugs. 1984 Nov;28(5):465-83. doi: 10.2165/00003495-198428050-00004.
2
The Thrombolysis in Myocardial Infarction (TIMI) trial. Phase I findings.心肌梗死溶栓治疗(TIMI)试验。第一阶段研究结果。
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Intravenous and intracoronary fibrinolytic therapy in acute myocardial infarction: overview of results on mortality, reinfarction and side-effects from 33 randomized controlled trials.
急性心肌梗死的静脉及冠状动脉内纤维蛋白溶解疗法:33项随机对照试验的死亡率、再梗死及副作用结果概述
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4
Clinical effects and kinetic properties of intravenous APSAC--anisoylated plasminogen-streptokinase activator complex (BRL 26921) in acute myocardial infarction.静脉注射氨甲环酸纤溶酶原-链激酶激活剂复合物(BRL 26921)在急性心肌梗死中的临床疗效和动力学特性
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Intravenous anisoylated plasminogen streptokinase activator complex versus intravenous streptokinase in evolving myocardial infarction. Preliminary data from a randomised multicentre study.静脉注射茴香酰化纤溶酶原链激酶激活剂复合物与静脉注射链激酶治疗进展性心肌梗死的比较。一项随机多中心研究的初步数据。
Drugs. 1987;33 Suppl 3:140-5. doi: 10.2165/00003495-198700333-00023.
6
Double-blind randomised trial of intravenous tissue-type plasminogen activator versus placebo in acute myocardial infarction.急性心肌梗死中静脉注射组织型纤溶酶原激活剂与安慰剂的双盲随机试验。
Lancet. 1985 Nov 2;2(8462):965-9. doi: 10.1016/s0140-6736(85)90523-9.
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Randomised trial of intravenous recombinant tissue-type plasminogen activator versus intravenous streptokinase in acute myocardial infarction. Report from the European Cooperative Study Group for Recombinant Tissue-type Plasminogen Activator.
Lancet. 1985 Apr 13;1(8433):842-7. doi: 10.1016/s0140-6736(85)92208-1.