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作者对23例视网膜中央动脉栓塞(CRAO)的病人进行了血管内纤维蛋白溶解(IF)治疗。病人年龄46～87岁,平均67岁,男性17例,女性6例,均患有动脉疾病,4例有脑内动脉栓塞。症状出现和首次治疗之间的时间4小时～2.5天。诊断依据突然的视力严重缺失伴黄斑水肿,可通过荧光血管造影来证实视网膜动脉血流严重减少或消失及视网膜动脉的“Cattle-trucking”征象。病人均排除有血管感染、细菌性心内膜炎、心肌梗塞、血管瘤、出血体质等疾病。其中18例的溶栓药物是通过置于眼动脉近端的
The authors performed intravascular fibrinolysis (IF) in 23 patients with central retinal artery embolism (CRAO). Patients aged 46 to 87 years old, average 67 years old, 17 males and 6 females, all suffering from arterial disease, 4 cases of intra-arterial embolism. The time between the onset of symptoms and the first treatment is 4 hours to 2.5 days. Diagnosis is based on a sudden loss of visual acuity with macular edema. Fluorescent angiography can be used to confirm a severe reduction or loss of retinal artery blood flow and “Cattle-trucking” signs of the retinal artery. Patients were excluded from vascular infections, bacterial endocarditis, myocardial infarction, hemangioma, bleeding constitution and other diseases. Eighteen of these thrombolytic drugs were placed proximal to the ophthalmic artery