基础医学与临床 ›› 2007, Vol. 27 ›› Issue (12): 1339-1342.

• 研究论文 • 上一篇    下一篇

血栓靶向性超声微泡治疗犬急性冠脉血栓

陈小敏 区文超 孙德胜 宫琳 刘俐 王双双   

  1. 北京大学深圳医院超声影像科 北京大学深圳医院超声影像科 北京大学深圳医院超声影像科 北京大学深圳医院超声影像科 北京大学深圳医院超声影像科 北京大学深圳医院超声影像科
  • 收稿日期:2006-11-30 修回日期:1900-01-01 出版日期:2007-12-25 发布日期:2007-12-25
  • 通讯作者: 区文超

Thrombus Target Ultrasound Microbubbles in treatment of Acute Coronary Artery Thrombosis of dog

Xiao-min CHEN, Wen-chao OU, De-sheng SUN, Lin GONG, Li LIU, Shuang-shuang WANG   

  1. Department of Ultrasound, Shengzhen Hospital, Beijin University
  • Received:2006-11-30 Revised:1900-01-01 Online:2007-12-25 Published:2007-12-25
  • Contact: Wen-chao OU,

摘要: 目的 探讨自制血栓靶向超声微泡造影剂对犬急性冠脉血栓的溶栓作用。方法 建立犬心脏左前降支急性血栓模型,经下肢股静脉恒速注射自制脂质血栓靶向微泡(TMB)或白蛋白微泡(AMB),同时予1MHz、2.0W/cm2 超声(US)照射,记录前降支血流量变化;分别用图像分析及硝基四氮唑蓝染色的方法检测管腔残存血栓面积和心肌梗死范围。结果 TMB+US组血管再通时间及相应的残余血栓和梗死面积均显著小于AMB+US;但仍然稍大于尿激酶(UK)组;而TMB+UK+US组上述指标则明显优于单纯UK组。结论 在1MHz超声作用下,自制血栓靶向性微泡对急性冠脉血栓的溶解作用显著优于人血白蛋白微泡。

Abstract: Objective To evaluate the efficacy of acute coronary arterial clot disruption by intravenous administration of self-restraint thrombus target ultrasound microbubbles(TMB). Methods Thrombus was formed in the left descent coronary artery by electrical stimulation in 25 dogs.After thrombolysis,dogs were received treatment by transcutaneous ultrasound (1MHz、2.0W/cm2) and TMB or albumin microbubbles (AMB). The vessel recanalization times were recorded and the areas of residual thrombus and infarction were compared by pathological section. Results TMB intravenous administrated resulting in the quick recovery of arterial embolism and decreased the thrombus ratio of residual thrombus cross-sessional and infarction area compared with AMB groups. The effect of thrombolysis was significantly progressed in TMB plus half dose urokinase group and even better than urokinase only groups. Conclusions The thrombolytics activity of TMB was superior to AMB.Combined with TMB in thrombolytic therapy can help to decreased the dose of urokinase.