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深静脉血栓形成的治疗。肝素、链激酶和蛇毒抗栓酶的试验。

Treatment of deep vein thrombosis. A trial of heparin, streptokinase, and arvin.

作者信息

Kakkar V V, Flanc C, Howe C T, O'Shea M, Flute P T

出版信息

Br Med J. 1969 Mar 29;1(5647):806-10. doi: 10.1136/bmj.1.5647.806.

Abstract

Thirty patients with deep vein thrombosis of the legs of less than four days' duration were allocated at random to treatment with heparin, streptokinase, or Arvin under laboratory control. When the fate of the thrombi was assessed by objective techniques-phlebography and the (125)I-labelled fibrinogen test-the incidence of complete thrombolysis was greatest in the streptokinase group. Complications arose during treatment in each group but were least with Arvin. The natural history of the disease favours clinical but not always anatomical recovery.

摘要

30例病程少于4天的下肢深静脉血栓形成患者被随机分配,在实验室控制下接受肝素、链激酶或去纤酶治疗。当通过客观技术——静脉造影和¹²⁵I标记纤维蛋白原试验评估血栓的转归时,链激酶组完全溶栓的发生率最高。每组治疗期间均出现并发症,但去纤酶组最少。该病的自然病程有利于临床恢复,但并不总是能实现解剖学上的恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee24/1982504/bc0b9060ea7d/brmedj02025-0035-a.jpg

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