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冠状动脉介入期间心室颤动的原因分析 被引量：7

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摘要 目的:分析冠状动脉介入中发生心室颤动(VF)的原因。方法:选择2005年1月～2006年12月行冠状动脉介入的患者1086例,回顾性总结冠状动脉介入检查、术中心电、压力监测等资料。结果:13例VF(发生率1.2)均为男性,其中因急性心肌梗死行急诊手术11例,择期手术2例。造影发现单支血管病变4例,2支病变4例,3支病变5例。VF发生在右冠状动脉10例,前降支冠状动脉1例。2例VF出现于冠状动脉造影术中,4例出现于冠状动脉介入治疗术中,6例出现于急性下壁心肌梗死PCI术前预防性安置心脏临时起搏器时。所有患者均经非同步直流电复律1次或多次、以及胸外心脏按压、用肾上腺素后抢救成功。结论:冠状动脉介入时发生的VF更多见于对右冠状动脉的操作中,其发生与急性心肌梗死、冠状动脉病变的严重程度、临时起搏电极的安置以及操作者的经验等因素有关。及时发现和处理得当,临床预后较好。
作者 周菲 秦永文 黄新苗 丁继军 马丽萍
机构地区 第二军医大学附属长海医院心内科
出处 《临床心血管病杂志》 CAS CSCD 北大核心 2008年第11期871-872,共2页 Journal of Clinical Cardiology
关键词 经皮冠状动脉介入治疗 心血管造影 心室颤动
分类号 R542.1 [医药卫生—心血管疾病]
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参考文献6

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二级参考文献10

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共引文献3

同被引文献118

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二级引证文献14

临床心血管病杂志
2008年 第11期

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