经皮冠状动脉腔内成形术并发症(附6例报告)
金凡,YeanLLim,ManolasE
摘要(Abstract)：
<正> 作者于1989年3月～1990年4月赴澳大利亚Epworth医院进修期间,共参加经皮冠状动脉腔内成形术(PTCA)89例,其中发生主要并发症6例,报告如下.资料及结果:89例PTCA发生主要并发症6例(6.7%),分别为急性冠脉闭塞3例(3.4%),严重骨膜撕裂2例(2.2%),急性心包填塞1例(1.1%).3例急性冠脉闭塞中2例分别为左前降支中段及左回旋支中段台心性狭窄90%,在PTCA过程中出现典型心绞痛和持续ST段抬高,伴血压下降分别为9/7kPa(70/50mmHg)及8/5kPa(60/40mmHg),血管造影均示远端血流中断,即冠脉内静注硝酸甘油200μg,并滴注硝酸甘油20μg/min,另静注阿拉明0.5mg,维持血压在15/8kPa(110/60mmHg)以上,经上述处理后症状缓解,ST段抬高恢复至原来水平,血管造影远端血流恢复而治愈.
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作者(Author): 金凡,YeanLLim,ManolasE
参考文献(References)：
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