有化血栓的药物吗 聂忆秋 首都医科大学附属北京康复医院
真正的化血栓的药物是没有的,现代医疗比较公认的是溶栓治疗。如果病人在发病4.5小时,最好的黄金时段是三小时之内的话,我们可以采取静脉溶栓的方法。因为一旦脑血流中断,在脑组织,就是中央的脑组织坏死的区域,它周边它都有一部分,它没有真正坏死,但是已经丧失功能的这部分脑细胞,我们叫做缺血半暗带。如果在一定的时间窗内的情况下,然后把这部分缺血半暗带的脑组织,让它尽快地恢复血流,挽救这些脑组织是可行的。所以在这种情况下,现在咱们公认的,用的这个药也叫做RTPA,这个药是一个从医学上来讲,是一个溶栓的药。其他的比如咱们中成药的,都是起到一个改善循环,活血化瘀,并不是真正意义上的溶栓药物。
Do you have any thrombotic drugs
There is no real thrombolytic drug, Thrombolysis is generally accepted in modern medicine. If the patient is sick for 4.5 hours, The best prime time is in three hours, We can take intravenous thrombolysis. Because once the cerebral blood flow is interrupted, In the brain, It's the central area of brain tissue that's necrotic, It has parts around it, It's not really dead, But the brain cells that have lost their function, We call it ischemic penumbra. If within a certain time window, And then the brain tissue of this ischemic penumbra, Let it restore blood flow as soon as possible, It is feasible to save these brain tissues. So in this case, Now, as we all know, It's also called rtPA, This is a medicine, It's a thrombolytic drug. Others, such as Chinese patent medicine, It's all a cycle of improvement, Promoting blood circulation and removing blood stasis, It's not really a thrombolytic drug.
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