与介入心脏手术相关的低血压临床资料的分析  

The Study of hypotention in intervention cardiovasclar medicine

作　　者：王世勋[1] 张新才[1] 谭蕾[1] 张凤丽[1] 

机构地区：[1]山东省潍坊市人民医院心内二科,261041

出　　处：《中国临床实用医学》2010年第8期36-37,共2页China Clinical Practical Medicine

摘　　要：目的探讨与介入心脏手术相关的低血压的发生率、发生机制、临床表现、影响因素及预防方法。方法分析1968例介入手术发生低血压174例低血压发生患者的临床资料。结果介入术后低血压的发生率为8．84％，其中迷走反射为主要原因，年龄大，女性更易发生迷走反射，动脉穿刺组迷走反射的发生率高于静脉组，迷走反射更容易发生于延迟拔管组。结论迷走反射为介入术后低血压的主要原因，年龄、性别、穿刺方式、拔管时间为重要的影响因素。Objective To study the incidence,mechanism,clinic symptom,factor,treatment of the hypotention in intervention cardiovascular medicine. Methods Analyse the 174 cases with hypotention in the 1968 cases with intervention. Results The incidence of hypotention was 8.84% , vagareflex count most. The older, female, artery group is more easier to vagareflex. Conclusion Vagareflex was the main reason cause to hypotention in the intervention treatment for cardiology. Sex, age, puncture method, the time for extubation were the influencing factors for vagareflex.

关 键 词：介入心脏手术 低血压 迷走神经反射 

分 类 号：R54[医药卫生—心血管疾病] R6[医药卫生—内科学]