周围血管介入治疗致血管迷走神经反射的患者误诊及其治疗  

Misdiagnoses and management of the vascular vagovagla reflexes induced by intervention therapy for peripheral arterial diseases

作　　者：武欣[1] 李学锋[1] 王清霖[1] 曹娟[1] 焦强[1] 

机构地区：[1]中国中医科学院望京医院血管外科,北京市100102

出　　处：《实用医学杂志》2015年第23期3947-3949,共3页The Journal of Practical Medicine

基　　金：2014年国家自然科学基金项目(编号:81470587)

摘　　要：目的:探讨周围动脉疾病介入治疗发生血管迷走神经反射的误诊及其治疗情况。方法:回顾本院周围动脉疾病介入治疗128例患者临床资料,对5例发生血管迷走神经反射患者误诊情况进行分析,并且系统治疗。结果:5例血管迷走神经反射患者均为混合型,均发生在术后,起初均被误诊。治疗后症状均缓解,未发生不良后果。结论:周围动脉疾病介入治疗中应重视血管迷走神经反射,正确认识。一旦发生应及时发现、处理,一般预后良好。Objective To investigate the misdiagnosed vascular vagovagla reflexes（VVR） and the treatments during interventional therapy for peripheral anerial disease （PAD）. Methods The clinical data of 5 patients with VVRs from 128 PAD patients undergoing interventional therapy so as to analyse the causes for the misdiagnoses and then render pertinent treatment. Results The VVR in the 5 patients belonged to mixed type and all cases occurred after intervention and initially misdiagnosed. All patients were recovered well without adverse reaction. Conclusion Intervention therapy for PAD may be susceptible to VVR. Prompt management may bring in a good orognosis when VVR happens.

关 键 词：周围动脉 介入治疗 血管迷走神经反射 误诊 

分 类 号：R473.74[医药卫生—护理学]