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纤溶酶与抗凝剂联合治疗晚期肢体缺血的临床试验

Clinical trial of brinase and anticoagulants as a method of treatment for advanced limb ischemia.

作者信息

Verhaeghe R, Verstraete M, Schetz J, Vanhove P, Suy R, Vermylen J

出版信息

Eur J Clin Pharmacol. 1979 Sep;16(3):165-70. doi: 10.1007/BF00562056.

DOI:10.1007/BF00562056
PMID:387420
Abstract

A randomized, single-blind trial of repeated intravenous infusion of Brinase was carried out in 70 petients with severe chronic limb ischemia, who were candidates for lumbar sympathectomy or amputation. The enzyme caused s significant increase in calf and ankle pressure index. At six months follow-up, the clinical results were statistically significant in favour of Brinase when all patients were considered, but not if 10 patients with Buerger's disease were omitted from the analysis. Patients treated with a combination of Brinase and coumarins had a better clinical outcome than patients receiving either treatment on its own.

摘要

对70例严重慢性肢体缺血患者进行了一项重复静脉输注布立酶的随机单盲试验,这些患者均为腰交感神经切除术或截肢手术的候选者。该酶使小腿和踝关节压力指数显著升高。在六个月的随访中,当将所有患者纳入考虑时,临床结果在统计学上显著有利于布立酶,但如果分析中排除10例伯格氏病患者,则并非如此。联合使用布立酶和香豆素治疗的患者比单独接受任何一种治疗的患者临床结局更好。

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Clinical trial of brinase and anticoagulants as a method of treatment for advanced limb ischemia.纤溶酶与抗凝剂联合治疗晚期肢体缺血的临床试验
Eur J Clin Pharmacol. 1979 Sep;16(3):165-70. doi: 10.1007/BF00562056.
2
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Dosage of i.v. brinase in man based on brinase inhibitor capacity and coagulation studies.基于纤维蛋白溶酶抑制剂活性及凝血研究确定的人体静脉注射纤维蛋白溶酶剂量。
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[Thrombolytic treatment of arterial occlusions with brinase, a proteolytic enzyme produced by aspergillus].[使用由曲霉菌产生的蛋白水解酶链激酶对动脉闭塞进行溶栓治疗]
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引用本文的文献

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J Clin Invest. 1982 Mar;69(3):573-80. doi: 10.1172/jci110483.

本文引用的文献

1
STUDIES ON THE THROMBOLYTIC ACTIVITY OF A PROTEASE FROM ASPERGILLUS ORYZAE.米曲霉蛋白酶溶栓活性的研究
Acta Physiol Scand. 1964 Apr;60:363-71. doi: 10.1111/j.1748-1716.1964.tb02899.x.
2
Thrombolytic therapy with local perfusions of CA-7 (fibrinolytic enzyme from Aspergillus oryzae) in the dog.狗体内使用CA - 7(米曲霉纤维蛋白溶解酶)局部灌注进行溶栓治疗。
Angiology. 1966 Sep;17(9):670-82. doi: 10.1177/000331976601700906.
3
The effect of an enzyme preparation from Aspergillus oryzae on the aggregation of rabbit platelets in vitro.
米曲霉酶制剂对兔血小板体外聚集的影响。
Scand J Haematol. 1966;3(4):277-89. doi: 10.1111/j.1600-0609.1966.tb02372.x.
4
Some factors influencing the toxicity of thromobolytic enzymes (Brinase).一些影响溶栓酶(链激酶)毒性的因素。
Can J Physiol Pharmacol. 1970 Jan;48(1):69-76. doi: 10.1139/y70-011.
5
The fate of elderly amputees.老年截肢者的命运。
Br J Surg. 1974 Aug;61(8):665-8. doi: 10.1002/bjs.1800610817.
6
Continuous wave ultrasound evaluation of brinase treatment of chronic arterial obstruction.连续波超声评估纤溶酶治疗慢性动脉阻塞的效果。
Angiology. 1974 Jul-Aug;25(7):444-8. doi: 10.1177/000331977402500703.
7
Influence of an enzyme from aspergillus oryzae, protease I, on some components of the fibrinolytic system.米曲霉的一种酶——蛋白酶I对纤溶系统某些成分的影响。
Acta Chem Scand. 1970;24(2):569-79. doi: 10.3891/acta.chem.scand.24-0569.
8
In vitro studies on a proteolytic enzyme from Aspergillus Oryzae (protease I).米曲霉蛋白酶 I 的体外研究
Thromb Diath Haemorrh. 1968 Mar 31;19(1):136-44.
9
Clinical review on brinase, a protease from Aspergillus oryzae.关于米曲霉蛋白酶brinase的临床综述
Folia Haematol Int Mag Klin Morphol Blutforsch. 1974;101(1):63-82.
10
Dosage of i.v. brinase in man based on brinase inhibitor capacity and coagulation studies.基于纤维蛋白溶酶抑制剂活性及凝血研究确定的人体静脉注射纤维蛋白溶酶剂量。
Angiology. 1975 Jul-Aug;26(7):557-63. doi: 10.1177/000331977502600708.