与介入性心脏手术关联的迷走神经反应  

The Vagareflex in Intervention cardiovascular Medicine

作　　者：胡雪松[1] 虞准[1] 彭长农[1] 衣为民[1] 李忠红[1] 方卫华[1] 

机构地区：[1]深圳市孙逸仙心血管医院内科,深圳518001

出　　处：《中国心血管杂志》2000年第3期160-162,共3页Chinese Journal of Cardiovascular Medicine

摘　　要：目的 探讨与介入心脏病诊疗手术关联的心动过缓一低血压的发生率、发生机制、临床意义、及影响因素.方法 分析1152例介入手术中发生的迷走神经反应的临床资料.结果 迷走神经反应的总发生率为10.3%,不同介入经路对发生率有显著影响,动脉组较静脉组多见;发生时间以术后即刻多见.结论 介入心脏技术中除起搏器安装术外均可发生迷走神经反应.Objective In order to study the incidene, clinic significance, the mechanism and factors. Methods 118 cases with bradycardia and hypotention in intervention cardiovascular medicine were study about their clinical materials. Results Beyond PM group bradycardia and hypotention mediated by vagareflex can be found in all kinds of the intervention medicines, the incidence of all were 10. 3%. The incidence of artery group was higher than that of vein group significantly. The incidence of the immediately-group was higher than the lately-group. The incidence of RFCA group was higher than that of PBMV and PM group. Conclusion Vagareflex can be found in all kinds of the intervention cardiovascular medicine except PM.

关 键 词：介入心脏手术 迷走神经反应 心动过缓 低血压 影响因素 

分 类 号：R541[医药卫生—心血管疾病]