浅析心血管病介入治疗术致急性低血压的特点与处理方式

Characteristics and Treatment Methods of Acute Hypotension Induced by Interventional Therapy of Cardiovascular Disease

目的对心血管介入治疗引起的急性低血压患者的处理方法研究。方法根据我院接收的心血管并介入治疗患者来进行研究,此次选取的患者共有42例,均是心血管病介入手术治疗后出现急性低血压症状的患者,对他们的临床处理方式进行探讨分析。结果 20例患者接受了阿托品肌注治疗,患者在肌注后病情有了较大的改善,占47.62%,有6例患者采取输液的方式进行了小剂量的滴注,占14.29%,有5例患者接受了多巴胺治疗,症状有所改善,占11.9%。有9例使用肾上腺素皮下注射以及阿托品、多巴胺等联合治疗,并且为患者进行了补血治疗,患者在经过治疗后2小时均获得了改善,占21.43%。有2例患者出现了急性心包填塞引发的低血压症状,经过输液和引流后,症状改善。结论心血管病介入治疗引起的低血压症状在临床中属于并发症,患者非常危险,要尽早诊断和治疗,以提升患者的生存几率。

Objective Processing method of interventional treatment induced acute hypotension patients on cardiovascular system.Methods According to our hospital received cardiovascular and interventional treatment of patients to study,the selection of patients with a total of 42 cases of acute hypotension,are symptoms of interventional treatment of cardiovascular disease after operation in patients with clinical treatment, analysed on their way.Results 20 patients received atropine injection therapy,patients in the intramuscular injection after disease have been greatly improved,accounting for 47.62%,there are 6 patients by infusion of small dose infusion,accounted for 14.29%,5 cases received dopaminergic treatment,symptoms improved,accounting for 11.9%. There were 9 cases of the use of subcutaneous injection of epinephrine and atropine,dopamine and other combined treatment,and the blood therapy for patients,the patients after treatment for 2 hours were improved,accounting for 21.43%. 2 patients presented acute pericardial tamponade induced hypotension symptoms after infusion and drainage,symptoms improved.Conclusion Treatment induced hypotension symptoms in clinical complications of interventional cardiovascular disease,very dangerous to patients,early diagnosis and treatment,to improve the chances of survival of patients.