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作者对6例急性冠状动脉闭塞患者进行了选择性冠状动脉内溶血栓治疗,方法:经皮穿刺向股动脉插入Judkins导管至主动脉,静注肝素1mg/公斤体重。继之,籍助心电图将导管先插入可通过的,然后插入可能受累的冠状动脉口,使冠状动脉充填造影剂,用siemens Cardoscop-u行选择性状动脉造影。解剖诊断确立后通过导管给与罂粟硷40mg或硝酸甘油0.5mg至闭塞的冠动脉分支处以缓解痉挛,然后再行冠动脉
Six patients with acute coronary occlusion were treated with selective intra-coronary thrombolysis. METHODS: Percutaneous puncturing of the Judkins catheter into the aorta was performed by percutaneous puncture and intravenous injection of heparin 1 mg / kg body weight was performed. Next, the catheter was first inserted through the electrocardiogram, and then inserted into the coronary arteries that may be involved. The coronary arteries were filled with contrast medium, and angiography was performed using the siemens Cardoscop-u line. Anatomical diagnosis was established by administering papaverine 40mg or 0.5mg nitroglycerin to the occluded coronary artery branches to relieve spasm, and then the coronary artery