选择性冠状动脉造影术的并发症及其防治  

Prevention Experience of Complications of Selective Coronary Angiography

作　　者：那开宪[1] 沈潞华[1] 杨家声[1] 王榭[1] 顾复生[1] 张红[1] 

机构地区：[1]首都医科大学附属北京友谊医院心内科,友谊医院心电图室

出　　处：《首都医学院学报》1996年第1期40-43,共4页

摘　　要：对３７３例选择性冠状动脉造影术（ＳＣＡ）的并发症进行总结。共发生严重并发症３７例，包括室性心动过速或（和）室颤６例（１．６％）、急性心肌梗塞２例（０．５４％）、动脉血栓２例（０．５４％）、股动脉穿刺部血肿２６例（７％）、动脉夹层１例（０．２７％）。认为术前了解患者病情，术中按操作规程进行插管，动作轻柔，密切观察患者主动脉压力、心电图变化及冠状动脉侧枝循环征象，尽可能缩短手术时间等，对减少ＳＣＡ的并发症是十分重要的。Selective coronary angiography(SCA)is very accurate diagnostic method for coronary heart disease.To evaluate the safety of SCA.Severe complications of 373 patients with SCA were analysed. Ventricular tachycardia/ventricular fibrillation 6 cases, acute myocardial infarction 2 patients ,arterial thrombus 2 cases,location hematoma 26 cases,arterial dissection 1 case. To reduce the complication of SCA,we must abide the rule as follows:1.To understand the patient's information;2.to abide by operation precedures;3.to observe closely the changes of aorta arterial presure and electrocardiogram during SCA; 4.to shorten the operation time of SCA.

关 键 词：冠状动脉造影术 冠心病 并发症 

分 类 号：R816.2[医药卫生—放射医学] R541.404[医药卫生—临床医学]