低分子肝素钙预防溶栓后再梗死疗效观察

目的 观察急性脑梗死溶栓后应用低分子肝素预防再梗死的疗效。方法 将符合治疗时间窗的急性脑梗死病人60例溶栓后随机分为两组，观察组在溶栓后3h内加用低分子肝素钙5000IU q12h腹壁皮下注射，共10d，同时两组在溶栓后行常规治疗。结果 观察组显效率83％，对照组显效率60％。观察组有1例皮下淤血。停药后消失。结论 溶栓后及早应用低分子肝素钙能有效降低溶栓后再梗死的几率。

Treatment effect observation of low-molecular-weight heparin calcium in preventing reinfarction after intravenous thrombolysis in acute cerebral infarction

[Objective] To observe the treatment effect of LMWHC in preventing reinfarction after intravenous thrombolysis in ACI. [Method] 60 cases of the ACI patients coincident with the therapy time window are divided into two groups at random. The observed group subcutaneously injected LMWHC 5 000 IU per 12 h three hours after intravenous thrombolysis. Meanwhile, two groups used ten days normal therapy after throbolysis. [Results] The availability is 83% in observed group, compared group is 60%. One case occured subcutaneous hemorrhage and disappeared after stopping drugs. [ Conclusion ] LMWHC can decrease the rate of the reinfarction after intravenous thrombolysis.