摘要
血栓栓塞性疾病属于多学科交叉性疾病,在心脑肺等多系统疾病的病死率均居首位,其对人体的主要危害是血栓形成造成的脏器缺血及功能障碍。及时再通血管才可使组织损伤得到可逆性修复,由于不同组织气管对于缺血的耐受程度存在差异,故在溶栓治疗中提出了“治疗时间窗”这一概念,主要是根据疾病的病理变化和临床循证医学共同得出。以下就几种常见的血栓栓塞性疾病治疗时间窗的界定做一简单介绍,供临床医生参考。
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2009年第11期854-855,共2页
Chinese Journal of Tuberculosis and Respiratory Diseases
参考文献8
-
1李玉林.病理学.7版.北京:人民卫生出版社,2008:51-54.
-
2Konstantinides S. Clinical practice. Acute pulmonary embolism. N Engl J Med, 2008,359:2804-2813.
-
3Selim MA, John WK. Thrombolytic therapy of pulmonary embolism. Chest, 1999,115 : 1695-1707.
-
4Wakai AP. Myocardial infarction ( ST-elevation ) . Clin Evid, 2009,29: 202.
-
5Kauffmann QR. Timing is crucial in acute myocardial infarction. Rev Med Chil, 2008, 136:1095-1097.
-
6Eckert B. Acute stroke therapy 1981-2009. Klin Neuroradiol, 2009, 19:8-19.
-
7Ingall TJ. Intravenous thrombolysis for acute ischemic stroke: time is prime. Stroke, 2009, 40: 2264-2265.
-
8Albers GW, Amareneo P, Easton JD, et al. Antithrombotie and thrombolytic therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition ). Chest, 2008,133 ( 6 Suppl) : 630s-669s.
同被引文献17
-
1Rahimtoola A,Bergin JD.Acute pulmonary embolism:an update on diagnosis and management.Curr Probl Cardiol,2005,30:61-114.
-
2Laporte S,Mismetti P,Décousus H,et al.Clinical predictors for fatal pulmonary embolism in 15,520 patients with venous thromboembolism:findings from the Registro Informatizado de la Enfermedad TromboEmbolica venosa (RIETE)Registry.Circulation,2008,117:1711-1716.
-
3Todd JL,Tapson VF.Thrombolytic therapy for acute pulmonary embolism:a critical appraisal.Chest,2009,135:1321-1329.
-
4Kearon C,Kahn SR,Agnelli G,et al.Antithrombotic therapy for venous thromboembolic disease:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).Chest,2008,133:454S-545S.
-
5Wan S,Quinlan DJ,Agnelli G,et al.Thrombolysis compared with heparin for the initial treatment of pulmonary embolism:a meta-analysis of the randomized controlled trials.Circulation,2004,110:744-749.
-
6Arcasoy SM,Kreit JW.Thrombolytic therapy of pulmonary embolism:a comprehensive review of current evidence.Chest,1999,115:1695-1707.
-
7Urokinase pulmonary embolism trial.Phase 1 results:a cooperative study.JAMA,1970,214:2163-2172.
-
8Daniels LB,Parker JA,Patel SR,et al.Relation of duration of symptoms with response to thrombolytic therapy in pulmonary embolism.Am J Cardiol,1997,80:184-188.
-
9Torbicki A,Perrier A,Konstantinides S,et al.Guidelines on the diagnosis and management of acute pulmonary cmbolism:the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC).Eur Heart J,2008,29:2276-2315.
-
10朱元钰 陈文彬.呼吸病学[M].北京:人民卫生出版社,2003.7-9.
-
1卢凤民,屈大展,冯治西,郭玉军.重组组织型纤溶酶原激活剂治疗急性心肌梗塞的临床观察[J].天津医药,1996,24(7):391-393. 被引量:1
-
2郭仁光,雷慧利.急性心肌梗死患者溶栓时机的选择及效果的影响分析[J].世界最新医学信息文摘,2013,13(9):124-125.
-
3华军,周洪霞.100例心肌梗死患者不同时间溶栓治疗临床观察[J].邯郸医学高等专科学校学报,2003,16(4):348-349. 被引量:2
-
4马韬.为行溶栓治疗前的急性心肌梗死患者使用低分子肝素对提高其溶栓疗效的意义[J].当代医药论丛,2017,15(5):7-8.
-
5秦进侠.急性心肌梗死溶栓治疗的体会[J].陕西医学杂志,2010,39(4):496-497. 被引量:10
-
6李洪林,陶先明,朱照伟.降纤酶治疗6小时以上急性脑梗塞疗效分析[J].中国药业,1999,8(11):49-49.
-
7刘俊霞,孙秀华.急性心肌梗死就诊时间与住院日的相关性[J].齐鲁护理杂志,2005,11(6X):1133-1134.
-
8焦震宇,王树岩.间断胸闷气短7个月,加重3天[J].中国临床医生杂志,2009,37(4):69-69.
-
9李玉峰.急性心肌梗死患者溶栓时机与疗效观察[J].临床合理用药杂志,2014,7(7):97-98. 被引量:2
-
10罗金,夏炎,吕颐,刘力,张仲元.老年人应合理用药[J].首都医药,2005,12(8):37-37. 被引量:2