Vitoux J F, Roncato M, Pernes J M, Fiessinger J N, Aiach M, Gaux J C
Ann Med Interne (Paris). 1986;137(2):105-7.
Thirty patients with acute severe lower limb arterial obstruction were treated with local administration of low dose Urokinase associated with Lysyl Plasminogen. Fifty-three per cent primary and 40 p. 100 secondary successes were obtained with few complications but one death due to cerebral embolism related to the catheterisation procedure. This intra-arterial therapeutic association seems to be as effective as local streptokinase infusion, but it is much better tolerated than other forms of treatment. It could be the treatment of choice in acute occlusive arterial disease of the lower limbs providing the therapeutic indications are strictly respected.
30例急性严重下肢动脉阻塞患者接受了低剂量尿激酶与赖氨酰纤溶酶原联合局部给药治疗。获得了53%的一次成功和40%的二次成功,并发症较少,但有1例因与导管插入术相关的脑栓塞死亡。这种动脉内治疗联合似乎与局部链激酶输注一样有效,但耐受性比其他治疗形式好得多。如果严格遵循治疗指征,它可能是下肢急性闭塞性动脉疾病的首选治疗方法。