原发性肝癌介入治疗中血管迷走神经反射的防治  

Treatment and prevention of vasovagal reactions occurred in interventional theraphy for patients with primary hepatocellular carcinoma

作　　者：储玉山[1] 朱小庆[1] 黄健[1] 赵辉[1] 陆小华[1] 张玉宇[1] 

机构地区：[1]南通大学附属医院介入放射科,南通226001

出　　处：《南通大学学报（医学版）》2011年第5期357-359,共3页Journal of Nantong University(Medical sciences)

摘　　要：目的：探讨原发性肝癌介入治疗中并发血管迷走神经反射的预防和治疗方法。方法：2006年7月-2011年6月间,11例原发性肝癌患者在介入治疗中出现胸闷、气急、心率下降等血管迷走神经反射症状,立即给予心电监护、阿托品提高心率、扩容、吸氧等治疗。结果：11例血管迷走神经反射的患者经及时处理后,心率、血压在10~30 min内控制到正常,无死亡。结论：详尽了解既往史,细心观察病情变化,严密监护,及时给予提高心率、扩容、吸氧等处理,可以避免血管迷走神经反射引起的严重后果。Objective： To investigate the method for treatment and prevention of VVRs（vasovagal reactions） in treating patients with primary hepatocellular carcinoma（HCC）.Methods： During the period of July 2006-June 2011,transcatheter arterial chemoembolization（TACE） was performed in 2 172 patients with primary hepatocelluar carcinoma,eleven patients of which have the typical symptoms of VVRs,all were treated with atropine,at the same time,heart rate and blood pressure were monitored,blood volume were replenished,oxygen were deliveryed.Results： In less than 30 min,heart rate and blood pressure of the eleven patients with VVRs increased to normal after the timely and adequated treatment,no case deathed.Conclusion： Detailed information of medical history,careful observation of clilical condition,intensive care of pation,timely atropine administered,blood volume replenished,oxygen deliveryed,etc are all the effective measures to prevent and to treat VVRs occoured in HCC patients treated with TACE.

关 键 词：原发性肝癌 介入治疗 迷走神经反射 

分 类 号：R735.7[医药卫生—肿瘤]