腹腔镜胆囊切除术诱发急性冠状动脉综合征8例分析  

Acute coronary syndrome allured by laparoscopic cholecystectomy in 8 cases

作　　者：张永辉[1] 叶成荣[1] 梅卫国[1] 李金标[1] 

机构地区：[1]解放军第532医院,黄山245041

出　　处：《腹腔镜外科杂志》2003年第1期27-28,共2页Journal of Laparoscopic Surgery

摘　　要：目的 :探讨腹腔镜胆囊切除术 (LC)术中、术后诱发急性冠状动脉综合征 (ACS)的原因、处置及预防措施。方法 :回顾分析 1938例LC的临床资料。结果 :1938例LC中、术后诱发ACS8例 ,发生率为0 4 % ,且均合并冠心病、高心病、心肌病等心脏病变。结论 :合并心脏基础性病变者 ,行LC时一定要严格掌握手术适应证 ,并采取紧急处置措施的准备。Objective:To explore the causes of acute coronary syndrome during or after LC and the ways to solve and prevent.Methods:The clinical date of 1?983 LC cases from 1996 to 2002 were retrospectively analyzied.Results:8 cases with acute coronary syndrome were allured during and after LC. The rate was 0.4%. All the 8 were accompanied by heart diseases such as coronary heart disease, hypertrophic cardiomyopathy, cardiomyopathy and so on.Conclusions:LC should be strictly done for patients with heart diseases. Emergent measures should be ready before operation.

关 键 词：胆囊切除术 腹腔镜 心肌缺血 

分 类 号：R657.4[医药卫生—外科学]