【摘要】 目的 探讨低分子肝素(LMWH)对急性脑梗死的近期疗效及安全性。 方法 治疗组和对照组各34例均使用低分子右旋糖酐和丹参作基础治疗，治疗组加用LMWH3200a×aIU，腹壁皮下注射bid，连用10天，停药后10天观察疗效。 结果 治疗组总有效率85.3%，明显优于对照组66.3%(P<0.05)。治疗组继发无症状性颅内出血1例，与对照组差异无显著性。未发现血小板减少症等副作用。 结论 低分子肝素治疗急性脑梗死是有效、安全、简便的。

    【关键词】 低分子肝素;脑梗死;药物治疗

    Clinical observation of acute cerebral infarction treated by low molecular weight heparin in68cases

    YANG Ying-juan，JIN Qin-hua.

    Department of Endocrinology，Puning Overseas Chinese Hospital，Puning515300，China

    【Abstract】 Objective To investigate short-time efficacy and safety of low molecular weight heparin(LMWH)in the treatment of acute cerebral infarction.Methods LMWH was given subcutaneously for10days to treat34patients(3200aXaIU，bid)，and there were34randomized patients as control.All patients were treated with low molecular weight dextran.Results The total effective rate was85.3%in the LMWH group and it was significantly greater than66.3%in the control group(P<0.05).Asymptomatic spontaneous intracranial hemorrhage was found in1patient with LMWH treatment ......