SU1355249A1 - Method of treatment of thrombosis of blood vessels - Google Patents

Abstract

This invention relates to vascular surgery. The purpose of the invention is to prevent wound bleeding. Before the introduction of thrombolytic drugs, the crossed small blood vessels are obstructed by glue infiltration. Two days after the treatment, the thrombus is completely dissolved. The duration of treatment is reduced by 2.5-3 times. I ate to N with

Description

Selection refers to vascular surgery in particular, and concerns the improvement of the method of treating blood vessels (b);).

The purpose of the invention is the prevention of the injury of a wound.

Example. Patient P., g.chet. Diagnosis: h. Thrombosis of ills |) e1P10 | arteries and arteries 10, leiiii. Diagnosis podpk / maple angiography

After performing a radionuclide contrast study and detecting the gpc of the thrombus in the vessel, surgical access to the thrombated area is made. At the same time, soft tissues are dissected and the bleeding from the intersected branches of the arteries and veins is stopped by doping or coagulation. A thrombosed arterial vessel is exposed and a thrombus is performed: the surgery with the aid of a balloon catheter.

Intra-irradiation an- | iography. When the remaining thrombus is detected in the lateral branches, the main vessel is cannulated by inserting a thin plastic tube into it. After this, the crossed small blood vessels are obstructed over the entire surface of the wound, infiltrating it with medical glue. At the same time, the surface layer of the wound after hardening of the glue turns into a dense glue-tissue conglomerate that covers the lumen of small vessels and does not interact bio-logically with thrombolytic agents.

After obturation of small vessels, an aseptic band is applied to the wound. With the help of the infuser, thrombolytic agent avelysin is injected into the plastic tube inserted into the artery at the rate of 1.000.000 U. A control angiography is performed daily through a plastic tube to determine the degree of thrombus dissolution.

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Through ;; in () with (jK o i. Mcce) complete dissolution of the thrombus, 11od1CH er / n.1enografii. Stop the introduction of thrombolytic agents and in a day through a plastic tube enter the physiological solution with I enapuHOM with a speed of 30- U) 1.1 / h. At the end of the day, the edges of the wound and its nude were excised.

 treatment of patients with similar changes in the magician + 1stra. The arteries are known in a known manner, i.e. without the use of obturation of small vessels, with the introduction of even lower doses of avelysin (250,000 U per day), there was bleeding from the wound, which forced to stop thrombolytic therapy or drastically reduce the dosage of thrombolytic drugs. At the same time, complete lysis of the thrombus was not achieved.

The use of obturation of small crossed vessels of the operative wound with the help of glue with simultaneous surgical and thrombolytic treatment prevents bleeding from them during the course of thrombolytic therapy, allows the use of a full therapeutic dose of thrombolytic agents, due to which a complete lysis of the thrombus is achieved and in 2 The duration of treatment decreases 5 to 3.0 times.

Claims (1)

Invention Formula ) five A method for treating thrombosis of blood vessels 30 by dissecting tissues, stopping bleeding, exposing the great vessel, thrombectomy and performing thrombolytic therapy by intraarterial administration of thrombolytic, thromboprostatic agents, differing from that of 35 to prevent bleeding from Before the introduction of thrombolytic drugs, the crossed small blood vessels are obstructed over the entire surface of the wound and infiltrated with medical glue.