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为总结选择性冠状动脉造影(SCA)的并发症防治经验,分析了近9年来施行的535例临床资料.造影后发生严重心动过缓21例.Ⅱ度房室传导阻滞2例,经处理后均恢复。最初阶段室颤率3.5%(7/200).后一阶段降至0.9%(3/335)。主要经验是选择粗细合适的导管和导管插入深度适当。这10例经及时除颤均获成功。其他并发症还有造影剂反应8例,Ⅱ度心衰1例.心绞痛发作19例,血压急剧升高18例,穿刺部位皮下瘀血8例,经处理后均未造成不良后果.
To summarize the experience of prevention and treatment of complications of selective coronary angiography (SCA), we analyzed 535 cases of clinical data in the past 9 years, 21 cases of severe bradycardia after angiography, 2 cases of Ⅱ degree atrioventricular block After all recovered. The initial stage of ventricular fibrillation rate of 3.5% (7/200). The latter phase dropped to 0.9% (3/335). The main experience is to choose the appropriate thickness of catheter and catheter insertion depth appropriate. These 10 cases were successful defibrillation. Other complications were contrast agent reaction in 8 cases, Ⅱ heart failure in 1. Angina pectoris in 19 cases, 18 cases of sharp increase in blood pressure, puncture site subcutaneous bleeding in 8 cases, after treatment did not cause adverse consequences.