中药结合溶栓法治疗急性下肢深静脉血栓
844844
?g???g???????????c????
ChineseMedicineMedernDistanceEducationofChina
?l6???l08?%2008??08?s
?s???????M<4?d???:???D?r?????????r?n?????D<410?(???? ???c<4
2.2???u???D?????u?????/?1?????????????M???????% ????CRIB6A?????u???D??????<4???-??????????15?n???r 10?(???????c<4???????????l???)???c?r??????????2?(<4 2.3??????????????0.1???????:???M?????r??????
?-?r14?(???????c<4
3????????
<?<?46????????1B63?)???c?????t?r???M?D?r?c?????? ???????????+16???r?t??????13???r?M??????91.3%<4?M ???/?%<8?????%<8?????????%<8???I?%???R???%??36???r?? ?????????+8???r?t??????20???r?M??????80%<4?M???? ?h???+??32???r???????t????????16???r?B???%???t???? ??12???r?M??????90%<4
4????
<?<????????7?????????????r?:?????????????????I?r?? ?????B??<4?I???:???????????r?????g??<8???????????D?n ??<4?u?????????/???????g?????????r?????B??<4???????? ?/?d???????l???r???????????e<4?g???????r?l???I?+???: ???????r?6?:?T???r?????D???r?M???????D?I?r???????????r ?????I??<4???/?????2???r?o???I???r???6???:???g???r?? ?????2?f??????<4???g????<8????<8????<8?M?C?????2
??<4???g????<8?M?C?????????M???????r???B?????r?? ?M???????/<4????<8?????????????????r???????????? ???7?????t?[??????<4?????0???c???r???6???d?c?P?I<4 ???????6???,?r?????????????D???r???<??????<8???? ?????/<4?/??<8?<???I?????r?????2??<4?%?<?%?[???: ???:?r???P????????????????<4???:???????l?????????? ?7?????????????M??????????<4
<?<??????I?????i?????r?l???P?+???????????????????? ?????????%?????????????????????0?????????????????r ?????????????%?????7?????r?B?E?[???????r?????????? ???????7???????+????????<4?????:???d???????/B???? ?%?B?????r?????D?t???A?????/654B62????<4???/?? ?????7?r?????/?t???????I?????i?D???E??<4?u???:???d ???/???????????????I???????r???B?????r???????????B ???r????????????<4???u???D?????r?I?????????????C ?????/?r?o???????r?I???2?????????I?????/?r???M?? ??<8????<8?M??<8?????????r???????????r?M?(?????? ??????????<4?M?i???s???/?r???????????????????????7 ???8?r?????????????????D<4
?s???????%?I2008-04-10?M
?[?7?c???????M???f???E?sLDVT?M???:???????????r ?????c?????M??????????20%?r?????D???M???????r???? ?n???%?D?r?c????????<4?6?i?:??10?I?????r???/?g?? ???D?2?????s???f????LDVT?????????????a???????r???? ?????c<4
1?:??????
<?<??l?????n???????[?7?????M???f???E?????e??[1] ??????
??<4?:??????????????????LDVT???i27???r???g?r?? ?79???r???718???A????31B679???r????????53???A
???c??8???r???c??21???s2?????????????????M?A?? ?c????1?(?r????2?s?r????17.6??16.88?A???????? ?c???7???????????a2.3,??r???75.5,??r????3.15?? ?A?a???????????a,??r???76,??r????
???A?????????I?u?????t???%????5???r?2?T?t3 ???r???M?????t6???r???????P?t1???r?D?t???????? LDVT?i12??<427?????i???????f??????????<4 <?<???????20???g?r???77???r???713???A????29 B680???r????????49???A???c??8???r???c??12???A ???c????1?(?r????3?)?s?r????18.5??15.84?A?? ???????c???7???????????a2.5,??r???75.3,??r???? 3.54??1.03?A?a???????????a2.8,??r???75.8,??r ????3.98??0.97?A?????????r?u?????t????2???r?? ??????2???r???M?????t3???r?D?t????????LDVT?i13 ??<4
2????????
2.1???f?????l1?(?r???M??????????????50000u/?-?r ????5%???h???????g???M?????r?????-?A?l
?(???????????????????m???????????C???r???l3 ?g?????s???f???????[?7?c???????M???f
?????????8???????g?????2??(226600)
?????I?????????[?7?c???????M?sLDVT?M?g?????D?2?????s???f????????????<4?
???27?????i?????i???????r?????2
???g?????D?2???r???s???f???r???f?????t???/?g?????D?2??????????3?)?s<4??????
?s16???r?M??9???r????2???r???M????
??92.6%<4?????/?[?7?c???????M???f???E?????f?????g?r???c???s?g?????D?2????
?????????????f???????r???u???????????%?r ??????????????<4
???F???I?[?7?c???????M???f???E?A?g?????D?2???A???f?A?i???????A?????I??
0.922.9.24.41
1.09
100ml22
0000u/
845845845
?g???g???????????c????
ChineseMedicineMedernDistanceEducationofChina ?l6???l08?%2008??08?s
?-?r???(2?-?r????5?(<4
2.2?g?????D???????????????D?????????g?????r???? ???E?I????<8?????P<8??????<8??????<8????<8????<8 ????<8????<8????<8?-?????r?????n?D?r?????D?/30 ?(?A???t?????????2?r???l???????????D?/3?)?s<4 2.3?g???2???????????????????/?c???????M???f???E ?????????????5?C?M???????2??<4???????E?I?7??<8?? ??<8????<8??????<8????<8?????????n?????t???u???? ???e?/<4????????????1?-?r10?-???????c?r???c???? ????3???0?(?r?????/???f?)?s<4
<?<??????????????f?????0?(?t?r???????D???????????? ??75mg?r?????D?/3?)?s<4
3????????
3.1?????e?????C1990???g???????g?????I?M???f?I?? ???I???????[?7?c???????M???f???E?????????e??[2] ??????
??????<4
<?<????s?I???????t???????r?r?????????????????72,??? ???r???????+?r???(?????r???????????D???????r?????I?+ ?????????????sCDFI?M?????c???????M?????????I??<4?M???I ?????????t???????r?r?????????????????73??4,??????r?? ?(???M?????rCDFI?????????M?????B?I???r???????M???/?7 ????<4?????I???????t???????r?r?????????????????75??
?2,??r???????????r???(???rCDFI?????????M???????????? ?I???2???M?u??????????<4
3.2??????????????<4?g?????D?2?????s???f???????? ?????s?????????M???????.?????????r?????????h?n?t(P <0.05)?r?????4?M?????a??<4
4????????
<?<????i?????r???r42???r?????????????u<4?+???? ???I2001??4?s18???r???i2?(?????t???????????????? ?c??????<8?????r???(????<4?????c???????r?M???????r?? ???????r????????<4???c???????I?????d?.?d10,??h?r?? 48,??r?M51,??A?????c?.?c10,??h?r??33,??r??37,?<4 ?????????T?????s+?M?r???M?????????s+?M<4?r?/?m?r???????r ?M????<4???????????I??????????2.3?r??????????7.32?r ????45,?/h?r??????????????15.1?r??????????435mg/ dl<4CDFI?????I??<8?????M?????u???????????r???????/ ?7?????r?????D?????)<4?????I?g??B6B6?????s?c?]?????r?M ???????M?A????B6B6???c???[?7?????M???f???E<4?????????I ?l???(???????M??????????????50000U/?-?r????2?-?r?l ???(?????-???M????3U?-?r?????-?r??????5?(<4 ?r?????????????D?g?????????????r?????/???r?????-?r ?2???M???????r????1?-?r???????D?2???g??????2?s?t?r ???c?????????+?r?????????r????????1?s?r???????+?r?? ?(???????D?????r???c???????????c????1,??rCDFI???? ???c???????M?????I??<4
5????
<?<??l???????g????B5????B3<8B5?M??B3???C???r<d?? ???e?[????<c???IB5????<8???6???r???????????r?6 ?????gB3?rB5?6???????R???r?M???????????r?????r?% ??B3<4<d?B?????C????<c???IB5???6?i?r???(?r?????r ???R???r?D?????r?(?R???r????B3<4???0???l????????
?????M?I???r?????????????M?6???????r???%????????<4 ?l?????????????:???I???/?????P???????f<8???????? ??<4?????????r???M???8<8???/?????????r???/???? ?????????r?6?????/?I??????<4?M???????r?6?i?/?:?? ?d?????/?a????<8???????????????f???r???r???????D?2 ???????r?I?????????g???????r?????2?/?i???????r???? ?2?????g???????r???2?r???r?????t?????r?C?r???<???? ????????<4
<?<????n?6?????t[3]
?r???P<8???????M?t???????????/?r
???????????????h?C?????%?E?t?????r?r???????M?????? ?????I???????A?????B???????a??????<8?????r???????? ?????????A???????(?????r???????a???????r???:?????? ???h?????????s???%??????<8ADP<8??????????A2317???M ?0???????a???????r??????????????????????<8?(?????? ???????a??????????<8???????????A?????????????a???? CAMP?r???????a???????A???????????+???????%???????? ADP?????????a???????r?????B?????A?????????I???????r ?????????????B?????A????<8???????M?t?????????????? ?/?r???M???????(???????r???????????D???????<?i???? ???r?????I???????r????<4???s?i???????r???????????7 ??<8????<8????<8??????<8????<8?????????????2???r??
?r???????????f?r???????????I?????/<4
<?<??c?????M???f???E???:???????????r?????i?/?????t ???????????M???<?????r?I?????(?????c?r???????????? ???????r???:???d???????T?0???i?I???????B???r?r???? ???i?????????????r???????????????r??????????????<4?? ???r?t?????????????????%???/???f?????????????????? ????????<4
???C???F
[1]?0???%,???t,?B????.????<8???????2??[M].????:?????????? ?P??????,1998:270???o?1?0.
[2]??????.???????????g???6??????????[M].?1??:?g???????????? ????,1992:361??362.
[?f]??????,?)??,?8????,??.?????g?????7????[M].?1??:???u???% ??????,65??3
(???????%?I5)
0000/2
2
2001:187.
2008-0-10
本文档为【中药结合溶栓法治疗急性下肢深静脉血栓】,请使用软件OFFICE或WPS软件打开。作品中的文字与图均可以修改和编辑,
图片更改请在作品中右键图片并更换,文字修改请直接点击文字进行修改,也可以新增和删除文档中的内容。
该文档来自用户分享,如有侵权行为请发邮件ishare@vip.sina.com联系网站客服,我们会及时删除。
[版权声明] 本站所有资料为用户分享产生,若发现您的权利被侵害,请联系客服邮件isharekefu@iask.cn,我们尽快处理。
本作品所展示的图片、画像、字体、音乐的版权可能需版权方额外授权,请谨慎使用。
网站提供的党政主题相关内容(国旗、国徽、党徽..)目的在于配合国家政策宣传,仅限个人学习分享使用,禁止用于任何广告和商用目的。