[摘要]目的 评价介入性动脉内置管于血栓处，局部持续泵入尿激酶治疗急性动脉栓塞的临床效果。方法随机选择32例急性外周动脉栓塞病人，采用Seldinger法经健侧动脉穿刺引管行动脉造影，发现动脉血栓部位后，用导管导丝插入，捣碎血栓抽吸后留置导管，开口抵于血栓近端，持续泵入尿激酶溶栓，每小时5万单位。12～24 h后造影复查，根据血栓溶解情况及时灵活调整导管位置。结果 急性动脉栓塞病人治愈率为96.9%。无出血等严 重并发症。结论 经导管动脉内血栓局部持续泵入尿激酶治疗急性动脉栓塞效果显著， 是一种安全有效的治疗方法。

    [关键词] 动脉闭塞性疾病;血栓溶解疗法;治疗结果

    EFFECTS OF ARTERY CATHETERIZATION USING CONTINUOUS INFUSION WITH UROKINASE FOR REGIONAL THROM-BOLYSIS IN ACUTE ARTERY EMBOLISM

    LI ZUN-MIN

    (Department of Vascular Intervention， Linyi people's Hospital， Linyi 276003， China)

    [ABSTRACT]ObjectiveTo evaluate the therapeutic efficacy of artery catheterization for regional thrombolysis with uroki-nase in the treatment of acute artery embolism. MethodsThirty-two patients with acute peripheral artery embolism received catheter-guided regional thrombolysis with urokinase (50 000 U/h) ......