急诊经皮冠状动脉介入术后造影剂脑病1例分析

Analysis on One Case of Contrast-Induced Encephalopathy Caused by Emergency Percutaneous Coronary Intervention

造影剂脑病是经皮冠状动脉介入术术后罕见的并发症,症状复杂,易与脑卒中等急性病症混淆,根据CT、磁共振成像等影像学检查方法可进行鉴别诊断。该病患者症状多可自行缓解,实际治疗时多采用利尿、加强水化、皮质激素等治疗。该文对1例经皮冠状动脉介入术导致的造影剂脑病患者的临床资料进行回顾性分析,对诊断及治疗过程进行总结分析。

Contrast-induced encephalopathy is a rare complication after percutaneous coronary intervention,with complex symptoms,it is easy to be confused with acute diseases such as stroke.The differential diagnosis can be made according to imaging examination methods such as CT and magnetic resonance imaging.The patient′s symptoms partially resolve on their own.Diuresis,enhanced hydration,corticosteroids and other treatments are mostly used in actual treatment.In this paper,the clinical data of a patient with contrast-induced encephalopathy caused by percutaneous coronary intervention are retrospectively analyzed,and the diagnosis and treatment process are summarized and analyzed.