[1]周 鹏,王秋林,蔡国才,等.不同温度对比剂在冠状动脉造影术中不良反应的对比观察[J].介入放射学杂志,2011,(10):769.
 ZHOU Peng,WANG Qiu-lin,CAI Guo-cai,et al.Adverse effects in coronary angiography a comparative study of different temperature contrast medium[J].journal interventional radiology,2011,(10):769.
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不同温度对比剂在冠状动脉造影术中不良反应的对比观察()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年10期
页码:
769
栏目:
心脏介入
出版日期:
2011-10-25

文章信息/Info

Title:
Adverse effects in coronary angiography a comparative study of different temperature contrast medium
作者:
周 鹏 王秋林 蔡国才 李 璐 蒋利成 杨 震 黄秀萍
610500  成都医学院第一附属医院心内科
Author(s):

ZHOU Peng WANG Qiu-lin CAI Guo-cai LI Lu JIANG Li-cheng YANG Zhen HUANG Xiu-hua.

Department of Cardiology, the First Affiliated Hospital, Chengdu Medical College, Chengdu 610500, China
关键词:
冠状动脉造影 对比剂 温度 不良反应
分类号:
R541.4
文献标志码:
A
摘要:
目的 探讨进行冠状动脉造影检查时不同温度对比剂与受检者不适反应及心率、ST段、T波变化、手术时间、对比剂用量之间的关系。方法 将患者随机分为常温组(521例)与温浴组(522例),常温组对比剂在室温情况下进行冠状动脉造影,温浴组将瓶装的对比剂放入恒定温度37℃水浴箱,60 min后按冠状动脉造影常规进行操作。观察两组患者术中心电监护所示ST段及T波、心率、早搏变化,T波振幅改变 ≥ 0.01 mv、ST段压低 ≥ 0.05 mv,心率改变 ≥ 10次/min纳入阳性统计,同时计算两组心慌、胸闷、胸痛不适反应发生率,统计手术时间、对比剂用量。结果 两组间心率、ST、T波变化、手术时间差异有统计学意义(P ≤ 0.05),两组间不适反应差异亦有统计学意义(P ≤ 0.05)。结论 水浴加热对比剂有助于预防冠脉造影检查术中不良反应。

参考文献/References:

[1] 周玉杰, 霍 勇, 卢才义, 等. 心脏病介入治疗疑难问题-造影剂[M]. 北京: 中国协和医科大学出版社, 2006: 43.
[2] 周 鹏, 王秋林, 蔡国才, 等. 冠状动脉造影中严重冠状动脉痉挛1例[J]. 中国医学影像技术, 2010, 26: 1956.
[3] Rubin GD, Rofsky NM. CT and MR angiography: comprehensive vascular assessment[M]. Lippincott Williams and Wilkins, 2008.
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备注/Memo

备注/Memo:
收稿日期:20110608
更新日期/Last Update: 2011-10-25