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心血管病介入术并发症与处理

Complication and Treatment of Undergoing Interventional Therapy for Cardiovascular Diseases

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【作者】 赵玲韩明华赵福海郭涛刘中梅李淑敏

【Author】 ZHAO Lin,HAN Ming-hua,ZHAO Fu-hai,GUO Tao,LIU Zhong-mei,LI Shu-min(Dept.of Cardiology,The 1st Affiliated Hospital of Kunming Medical College,Kunming 650032,China)

【机构】 昆明医学院第一附属医院心内科昆明医学院第一附属医院心内科 昆明650032昆明650032

【摘要】 目的观察心血管介入术并发症的发生并分析其原因.方法选择我院2003年10月至2004年10月所有进行心血管介入的1 015例患者进行分析,其中行PC I术520例,RFA术160例,永久起搏器植入术201例,先心病封堵术121例,大动脉支架10例,其它29例.结果1 015例患者中,总体并发症发生率7.58%,其中以低血压及迷走反射为主,占2.66%,死亡率0.39%.结论心血管介入术是一种有效治疗手段,但有一定风险,术前认真评估、提高术者经验、术后严密监护可减少并发症的发生.

【Abstract】 Objective To observe the occurrence of the complication in patients under going interventional therapy for cardiovascular diseases and analyze its causes.Methods The data records of 1015 patients with interventional therapy for cardiovascular diseases in our hospital from October,2003 to October,2004(aged between 7 and 85 years,585 males and 430 females) were analyzed.Among them,520 patients received percutaneous transluminal coronary angioplasty and stent implantation,160 underwent radiofrequency catheter ablation,201 with permanent cardiac pacing,121 received blocking for congenital heart disease,10 received intraartery stent implantation and 29 with other interventional therapy.Results The complication occurred in 7.58% of 1015 patients.A higher incidence of hypotension and aberrant reflex has been reported(2.66% of all,mortality rate 0.39%).Conclusions Interventional therapy for cardiovascular diseases is an effective treatment with some risk.Serious pre-operational appraisal,enriching the experience of the doctors and strict post-operational monitoring may reduce the occurrence of the complication.

  • 【文献出处】 昆明医学院学报 ,Journal of Kunming Medical College , 编辑部邮箱 ,2006年01期
  • 【分类号】R54
  • 【被引频次】3
  • 【下载频次】128
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