心血管疾病介入治疗过程中血管迷走神经反射的预防与处理

Prevention and treatment of vascular vagovagal reflexes in patients with cardiovascular disease during intervention

目的 研究心血管介入治疗过程中血管迷走神经反射 (VVR)的预防及处理。方法 记录并分析我院 2 10 0例心脏病介入治疗过程中 6 1例VVR的发生原因及处理结果。结果 6 1例VVR患者中 ,12例为血管抑制型 ,7例为心脏抑制型 ,42例为混合型。治疗后均症状缓解 ,未发生不良后果。结论 介入治疗过程中发生VVR的主要原因为精神紧张、疼痛、低血容量及空腔脏器扩张刺激等。

Objective To study the prevention and treatment of vascular vagovagal reflexes (VVRs) in patients with cardiovascular disease during intervention. Methods The causes and results in 61 patients with VVRs during intervention of 2100 patients were analysed. Results In 61 patients with VVRs, there were 12 cases having vascular restriction, 7 cases with heart restriction, 42 cases with mixed type. All patients were recovered after treatment, no adverse reaction happened. Conclusions The major causes of VVRs during interventional treatment were mental tension, pain, low blood volume and expansive stimulation of hollow organs. Preventive measure and prompt treatment are necessary.