血液透析患者冠心病介入治疗的临床应用——附4例临床报告  

Percutaneous coronary intervention in uremic patients on hemodialysis 4 caser eports

作　　者：方路[1] 张芸[1] 周蓉[1] 张书富[1] 陈德[1] 

机构地区：[1]上海杨浦区中心医院肾内科,上海200090

出　　处：《中国血液净化》2005年第9期497-499,共3页Chinese Journal of Blood Purification

摘　　要：目的探讨血液透析患者冠状动脉造影、经皮冠状动脉成形术及支架置入术的近期疗效。方法对4例血液透析冠心病患者在强化透析及水化治疗基础上应用非离子型低渗造影剂行冠状动脉造影术(PTCA)。结果4例冠状动脉造影术患者,2例为多支病变,行PTCA置放支架4个,1例行钝缘支血管瘤栓塞。术后心绞痛症状缓解,肾功能无进一步恶化。结论血液透析患者中行心脏介入性治疗,可提高透析患者生存质量,降低心血管病因的病死率。Objective To investigate the possibility of coronary revascularization in uremic patients on dialysis. Methods Four uremic patients were treated successfully with percutaneous transluminal coronary angioplasty and stenting. In order to minimize the adverse effect on kidney due to contrast, non-ionic and low osmolar contrast medium was used and coronary angiography were performed on the bas＇s of frequent dialysis and fluid administration. Result Coronary angiography showed that two patients have multiple vessels lesion, four stents were placed. An arteriomyomatosis was blocked in one patient. After operation angina pectoris disappeared and no deterioration of renal function was noted. Conclusion It is possible to perform coronary angiography, PTCA and stenting successfully in uremic patients on hemodialysis successfully ,provided due attention was paid to the choice of contrast medium and protective measures for renal function.

关 键 词：血液净化 冠状动脉造影 经皮经腔冠状动脉成形术 支架置入术 

分 类 号：R318.16[医药卫生—生物医学工程]