摘要
目的 :分析冠心病患者冠状动脉介入治疗的并发症发生率、发生原因和防治措施。方法 :应用回顾性调查的方法对在本院心内科于 2 0 0 2 .9～ 2 0 0 4 .5月完成冠心病介入治疗 371例的主要并发症进行统计分析。结果 :我科进行冠状动脉介入治疗共 371例 ;总并发症发生率5 .12 % ,冠状动脉痉挛 1.6 2 %、急性闭塞 0 .2 7%无再流 1.0 8% ,室颤 0 .2 7%、冠状动脉夹层1.35 %、支架内急性血栓形成 0 .5 4%等。结论 :随着经验的积累和介入器械的改进 ,介入治疗并发症发生率降低 ,但仍应引起介入医师的重视。
Objective: To study the complication rate 、cause of disease and prophylactico-therapeutic measure by analyzing 371 cases of interposition therapy for coronary heart disease. Methods: We counted and analyzed 371 cases of interposition therapy for coronary heart disease in our hospital from 2002.9 to 2004.5 with retrospective analysis method. Results: For these 371 cases patients, the complication rate was 5.12%, coronary spasm rate was 1.62%, acute coronary occlusion rate was 0.72%, no-reperfusion rate was 1.08%,ventricular fibrillation rate was 0.27%, coronary interlayer rate was 1.35%, acute thrombosis in stand was 0.54%. Conclusion: We should pay more attention to the complication of interposition therapy for coronary heart disease, though we had more experience on it and more advanced appliance.
关键词
介入治疗
冠心病
并发症
冠状动脉
coronary heart disease
interposition therapy
complication
