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|本期目录/Table of Contents|

老年患者冠状动脉造影术的并发症及其处理(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第5期
页码:
399-401
栏目:
临床研究
出版日期:
2002-09-01

文章信息/Info

Title:
The complications of coronary artery angiograms and the treatments of the complications in aged patients
作者:
夏云峰; 罗北捷; 刘润梅; 翟红霞; 黄党生; 沈 东; 张许文; 易 周
解放军304医院干部病房,北京100037
Author(s):
XIA Yun-feng; LUO Bei-jie; LIU Run-mei; ZHAI Hong-xia; HUANG Dang-sheng; SHEN Dong; ZHANG Xu-wen; YI Zhou
Department of Geriatrics,304th Hospital of PLA,Beijing,100037,China
关键词:
冠状动脉造影术; 并发症; 老年人
Keywords:
coronary artery angiography; complication of angiogram; aged
分类号:
R540.45
DOI:
-
文献标识码:
A
摘要:
目的 总结我院老年患者冠状动脉造影术并发症的发生率及处理方法。方法 用Judkins法行冠状动脉造影和左室造影,记录术中、术后出现的并发症。结果 245例老年患者手术成功率为99.6%,心律失常发生率为13.1%,其中室速和室颤发生率分别为1.7%和0.4%,严重缓慢性心律失常发生率为2.0%,心绞痛发生率为6.4%,血管并发症发生率为2.4%,造影剂过敏3.2%,导管打结0.4%,发热0.8%,排尿困难2.0%。以上并发症经及时处理均得到缓解。结论 老年患者进行冠状动脉造影检查有一定的并发症发生率,但大多是可预防和治疗的。
Abstract:
AIM To summarize the complications of coyonary artery angiograms and the ways to prevent and treat the complications in 245 aged patients.METHODS:245 aged patients underwent selective coronary artery angiogram with standard Judkins method,and all complications were recorded during and after the procedures.RESULTS:The successful rate of the procedure in 245 aged patients was 99.6%,arrhythmia occurred in 13.1% of patients,including 0.4% of ventricular fibrillation,1.7% of ventricular tachycardia and 2.0% of severe bradycardia. Angina pectoris occurred in 6.4%. Peripheral vascular complications occurred in 2.4%,allergy of contrast occurred in 3.2%. The other complications were circumvolution of catheter,had a fever,and urination difficulty.CONCLUSION:There is a possibility of severe complication in coronary artery angiogram in aged patient. With effective prevention,it was safe.

参考文献/References

[1] 夏云峰,罗北捷,黄党生,等.溶栓治疗后冠状动脉再通标准[J].中国危重病急救医学杂志,1998,10(7):428-429.

[2] Adams DF,Fraser DB,Abrams HL. The complication of coronary arteriography[J].Curculation,1973,48:609-618.

[3] Gersh BJ,Kronmal RA,Frye RL,et al. Coronary arteriography and coronary artery bypass surgery:Mobidity and mortality in patients ages 65 years old[J].Circulation,1983,67(3):483-491.

备注/Memo

备注/Memo:
收稿日期：2001-08-06.
更新日期/Last Update: 2002-09-01