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颈动脉狭窄患者支架术后出现重度低血流动力学的治疗

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目的::分析颈动脉狭窄支架术患者出现重度低血流动力学的治疗方法及其效果。方法:回顾性分析我院近两年颈动脉狭窄患者支架术围手术期发生重度低血流动力学患者的临床资料。本组共有53例。结果:23例患者嘱其用力咳嗽,同时静脉采用多巴胺维持血压,阿托品升高心率,多巴胺用量2-10ug/(min?kg),未发生永久性神经系统并发症,但有1例发生急性冠脉综合征,1例发生血管迷走性晕厥。结论:颈动脉狭窄患者支架术围手术期重度血流动力学状态用力咳嗽,同时应用多巴胺,阿托品,症状可以得到有效控制,并可预防相应并发症的发生。
Objective:To analyze patients with carotid artery stenosis stent in the treatment of severe low blood flow dynamics method and its ef ect.Methods:A retrospective analysis of our hospital in the past two years in patients with carotid artery stenosis stent perioperative clinical data of patients with severe low blood flow dynamics.A total of 53 cases.Result:23 patients to cough forceful y,the vein by dopamine to maintain blood pressure at the same time,atropine increased heart rate,dopamine dosage 2-10ug/(min?kg),not permanent neurological complications,but there are 1 case of acute coronary syndrome,1 case of vasovagal syncope.Conclusion:Carotid artery stenosis stent in patients with perioperative severe hemodynamic state forcibly cough,at the same time,application of dopamine,atropine, symptoms can be ef ectively control ed,and can prevent some complications.

SenilityCerebral angiographySupportArtery stenosis

王占强、徐莉、周利、鲁慧、崔宁宁

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沧州市中心医院 沧州 061001

高龄 脑血管造影 支架 动脉狭窄

2015

健康之路
广东省医学会 中国保健协会

健康之路

ISSN:1671-8801
年,卷(期):2015.(2)
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