心血管介入诊疗术后迷走反射的预防及处理

Prevention and treatment of vagus reflex after percutaneous coronary intervention

血管迷走反射是心脏介入治疗过程中发生的并发症之一。术后发生的血管迷走反射多认为与精神紧张、疼痛、血容量不足、空腔器官的扩张刺激、局部血肿、患者心功能状态都有关系。规范化的介入培训,严格选择冠状动脉介入适应证,术后充分补液,利多卡因局部麻醉减少疼痛,提高手法压迫血管止血技术,消除各种不良因素,可有效地降低血管迷走反射的发生率。

Vasovagal reflex is one of complications from cardiac intervention. The major causes of vasovagal reflex post-procedure are commonly believed to be associated with mental stress,pain,low blood volume, visceral dilation,local hematoma and cardiac function. The incidence of vasovagal reflex may be effectively reduced with standard intervention training, strictly selected indications for PCI, adequate fluid replacement after procedure, anesthetic hdocaine to reduce pain, improved manual compression for vascular hemostasis and elimination of risk factors.