[Thrombolytic therapy in ischemic infarct].

Abstract:

:Thrombolytic therapy in acute ischemic stroke is safe and effective in a defined subgroup of stroke patients. Until now, different fibrinolytic substances including urokinase, streptokinase and recombinant tissue plasminogen activator (rt-PA) have been tested regarding safety, efficacy, dosage and economic parameters in patients suffering from both carotid and basilar artery territory strokes. Recently, two large multicenter placebo-controlled intravenous rt-PA studies were published. The results show that thrombolysis of acute carotid territory strokes (European Cooperative Acute Stroke Study) and of strokes with a deficit measurable on the NIH Stroke Scale (National Institute of Neurological Disorders and Stroke rt-PA Stroke Study) improves clinical and economic outcome parameters in patients who were treated within 6 hours of the onset of symptoms and had that no signs of extended early infarction on the initial CT-scan. The occurrence of intracranial hemorrhages is more frequent after thombolytic therapy, but the majority of bleeding complications referred to petechial or more confluent hemorrhage limited to the infarcted tissue, without clinical deterioration. However, the identification of the appropriate patients is difficult and depends on the level of clinical and diagnostic experience. In vertebrobasilar artery territory stroke, local intraarterial thrombolysis with urokinase or streptokinase is performed in most cases. Thrombolytic treatment within twelve hours of the onset of symptoms was associated with significantly better results concerning both survival and neurological recovery.

journal_name

Wien Klin Wochenschr

authors

Willig V,Steiner T,Hacke W

subject

Has Abstract

pub_date

1997-10-31 00:00:00

pages

795-803

issue

20

eissn

0043-5325

issn

1613-7671

journal_volume

109

pub_type

杂志文章,评审
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    authors: Wyklicky H

    更新日期:1988-12-02 00:00:00

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  • [Persistent pulmonary hypertension in newborn infants (author's transl)].

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    pub_type: 杂志文章

    doi:

    authors: Beitzke A,Zach M

    更新日期:1978-12-08 00:00:00

  • [Guide-lines to the rehabilitation of patients with neurological disorders, especially stroke (author's transl)].

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    doi:

    authors: Barolin GS

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  • [The lung phospholipid content in newborn infants with idiopathic respiratory distress syndrome in relation to lung histology and survival time (author's transl)].

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    doi:

    authors: Krepler R,Davidovits A,Eckerstorfer R,Denk H

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  • [Is prevention really better than healing? A discussion contribution to prevention of spinal diseases].

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    journal_title:Wiener klinische Wochenschrift

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    doi:

    authors: Ernst E

    更新日期:1993-01-01 00:00:00

  • CO2 insufflation during colonoscopy decreases post-interventional pain in deeply sedated patients: a randomized controlled trial.

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,随机对照试验

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    authors: Riss S,Akan B,Mikola B,Rieder E,Karner-Hanusch J,Dirlea D,Mittlböck M,Weiser FA

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  • [Value of postoperative irradiation of cases of cervix cancer of histologic stage I/b with extensive infiltration (stage I/c)].

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    pub_type: 杂志文章

    doi:

    authors: Kucera H,Genger H,Wagner G

    更新日期:1986-12-05 00:00:00

  • Cluster of Stenotrophomonas maltophilia endocarditis after prosthetic valve replacement.

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    pub_type: 杂志文章

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    doi:

    authors: Mamoli B,Kopsa H,Maly J,Pateisky K,Gerstenbrand F,Kotzaurek R

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    abstract:AIM:Sleep disordered breathing (SDB) is an inevitable complication of progressive neuromuscular disorders (NMD). Aim of the study was to prospectively investigate the impact of three months of non-invasive ventilation (NIV) on sleep and SDB-associated symptoms in children and adolescents with advanced NMD. METHODS:Twe...

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    pub_type: 杂志文章

    doi:10.1007/BF03040405

    authors: Mellies U,Dohna-Schwake C,Ragette R,Teschler H,Voit T

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  • [A comparative study of the value of skin tests and radio-allergo-sorbent tests in inhalation allergies (author's transl)].

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    doi:

    authors: Ebner H,Kraft D

    更新日期:1975-10-17 00:00:00

  • Impaired anal sphincter function in professional cyclists.

    abstract:BACKGROUND:The purpose of our study was to assess anal function in professional mountain bikers, as an increasing number of cycling enthusiasts report functional and morphological problems in the anal region. We tried to find out if constant saddle vibration suffered by professional cyclists could lead to defecation di...

    journal_title:Wiener klinische Wochenschrift

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    doi:10.1007/s00508-006-0741-8

    authors: Sauper T,Lanthaler M,Biebl M,Weiss H,Nehoda H

    更新日期:2007-01-01 00:00:00

  • [Therapy of duodenal and prepyloric ulcers with cimetidine (author's transl)].

    abstract::In a double-blind randomized trial 91 patients with endoscopically confirmed duodenal and/or prepyloric ulcers received either 1000 mg cimetidine daily (44 patients) or placebo (47 patients) for 4 weeks. At 2 weeks complete ulcer healing was significantly increased in patients receiving cimetidine (45%) in comparison ...

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    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Hentschel E,Schütze K,Havelec L

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  • Orosomucoid is an independent predictor of prognosis in chronic heart failure.

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    doi:10.1007/s00508-016-1034-5

    authors: Kaplan P,Vrtovec B,Jug B

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  • Osteoporosis, weight gain and atypical fat accumulations - a typical feature not only for Cushing's, but also Madelung's disease: A case report.

    abstract::Madelung's disease, or multiple symmetric lipomatosis, is an extremely rare disease and very likely to be under-diagnosed. It is characterized by multiple symmetrical non-encapsulated fat accumulations mainly located around the neck, shoulders, upper extremities and upper parts of the trunk. The disorder predominantly...

    journal_title:Wiener klinische Wochenschrift

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    doi:10.1007/s00508-011-0045-5

    authors: Friedl C,Sampl E,Prandl EC,Wagner D,Piswanger-Soelkner JC,Rosenkranz AR,Fahrleitner-Pammer A

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  • [Concomitant perforated ulcer and acute myocardial infarct--a diagnostic challenge in emergency medicine].

    abstract::Clinical differentiation between acute myocardial infarction and peptic ulcer perforation may sometimes be difficult. We report on a sixty-five year-old patient who presented at the Emergency Department with upper abdominal pain and local tenderness suggestive of acute perforation of a gastric ulcer. However, the init...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Kürkciyan I,Schirmaier E,Frossard M,Schreiber W,Längle F,Huemer G,Sterz F

    更新日期:1994-01-01 00:00:00

  • [The development of infants subjected to aided respiration in the newborn period (author's transl)].

    abstract::22 children who required respiratory aid (LPPV, CPAP) in the newborn period were followed up to the age of 12 to 36 months. The birth weight ranged between 1050 and 4100 g and the duration of artificial ventilation ranged between 36 and 698 hours. Neurological development of 17 children was completely normal, whilst f...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Haidvogl M,Rosegger H,Schröfl S,Müller WD

    更新日期:1976-09-17 00:00:00

  • ["Small volume resuscitation"--does it open new possibilities in the treatment of hypovolemic shock?].

    abstract::Hypertonic-hyperoncotic solutions are a supplementation to conventional fluid regimens in the management of hypovolemia due to trauma, hemorrhage and shock. In this review the possible modes of action of these solutions are discussed and their efficacy both in experimental and clinical settings is presented. Possible ...

    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章,评审

    doi:

    authors: Kröll W,Pölz W,Schimetta W

    更新日期:1994-01-01 00:00:00

  • Austrian Arbeitsgemeinschaft für Gynäkologische Onkologie (AGO) guideline for prophylaxis with granulocyte colony-stimulating factors (G-CSF) in gynecologic malignancies, including breast cancer.

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    pub_type: 杂志文章,实务指引

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    更新日期:2012-06-01 00:00:00

  • Annoying vacation souvenir: Fish tapeworm (Diphyllobothrium sp.) infestation in an Austrian fisherman.

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/s00508-005-0463-3

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    更新日期:2005-11-01 00:00:00

  • [Haemodynamic changes in acute myocardial infarction following high doses of furosemide (author's transl)].

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:

    authors: Szeless ST,Kleinberger G,Kotzaurek R,Pall H,Pichler M

    更新日期:1976-07-16 00:00:00

  • Disturbances of thyroid function in the elderly.

    abstract::Disturbances of thyroid function occur more often in the elderly than in the young. This short review gives an up-to-date overview of this topic. After discussing the difference in epidemiology of thyroid dysfunction in elderly persons in areas with different iodine nutrient status, the physiologic age-induced changes...

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    pub_type: 杂志文章,评审

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    更新日期:2006-02-01 00:00:00

  • Cryptosporidiosis associated with animal contacts.

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    journal_title:Wiener klinische Wochenschrift

    pub_type: 杂志文章

    doi:10.1007/BF03040292

    authors: Stantic-Pavlinic M,Xiao L,Glaberman S,Lal AA,Orazen T,Rataj-Verglez A,Logar J,Berce I

    更新日期:2003-02-28 00:00:00

  • [Smoking is a risk factor for spinal diseases. Hypothesis of the pathomechanism].

    abstract::Epidemiological studies strongly imply that smoking is a risk factor for back problems. The question arises as to the nature of the underlying pathomechanism. Several theories are currently discussed in the literature: it could be due to "unhealthy" life styles associated with smoking, to a rise in intraabdominal pres...

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    pub_type: 杂志文章,评审

    doi:

    authors: Ernst E

    更新日期:1992-01-01 00:00:00

  • [Problems of diagnostic typology of married couples in therapy].

    abstract::Over the past years there has been great interest in developing diagnostic typologies of married couples undergoing therapy. 92 couples admitted to therapy were asked to fill out the Giessen test, a test widely used for diagnosis in marital therapy. The method of cluster analysis was used to find a classification. The...

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    pub_type: 杂志文章

    doi:

    authors: Reiter L

    更新日期:1983-07-08 00:00:00

  • [Endocrine constellation in androgenetic alopecia in the female].

    abstract::The mechanisms which induce androgenetic alopecia in females are only poorly understood at the molecular biological level. In predisposed, mainly centroparietal areas, androgenic stimulation of genetically predisposed hair follicles is considered to cause transformation from terminal to vellus hair follicles. However,...

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    pub_type: 杂志文章

    doi:

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    更新日期:1987-01-09 00:00:00