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PTCA和支架置入术的ACT监测
引用本文:贾翔,朱秀勤,王长华,田峰. PTCA和支架置入术的ACT监测[J]. 军医进修学院学报, 2010, 31(2): 159-160
作者姓名:贾翔  朱秀勤  王长华  田峰
作者单位:解放军总医院心内科,北京,100853
摘    要:
目的探讨监测活化凝血时间(ACT)对冠状动脉造影+经皮腔内冠状动脉成形术(PTCA)+支架置入的术中和术后肝素剂量的评价:方法应用ACT机监测行PTCA及支架置入术的175例患者,根据ACT值及时调整肝素剂量。结果175例中29例联合应用欣维宁(盐酸替罗菲班氯化钠注射液)的患者术后ACT值均达到靶目标值,146例未联合应用欣维宁者中有18例术后ACT值未达标,需追加肝素,发生率最高的是55~65岁组患者,占该组患者的20%。结论在VFCA和支架置入术中和术后监测ACT有助于手术安全有效的进行.

关 键 词:ACT  肝素  血管成形术,经腔,经皮冠状动脉  支架

Percutaneous transluminal coronary angioplasty and stenting by monitoring activated clotting time
JIA Xiang,ZHU Xiu-qin,WANG Chang-hua,TIAN Feng. Percutaneous transluminal coronary angioplasty and stenting by monitoring activated clotting time[J]. Academic Journal of Pla Postgraduate Medical School, 2010, 31(2): 159-160
Authors:JIA Xiang  ZHU Xiu-qin  WANG Chang-hua  TIAN Feng
Affiliation:JIA Xiang,ZHU Xiu-qin,WANG Chang-hua,TIAN Feng Department of Cardiology,Chinese PLA General Hospital,Beijing 100853,China
Abstract:
Objective To evaluate the effect of venous heparin on percutaneous transluminal coronary angioplasty(PTCA)and stenting by monitoring activated clotting time(ACT)during and after the procedures.Methods ACT in 175 patients undergoing PTCA and stenting was calculated with an ACT device during and after the procedures.Results Of the 175 patients who used tirofiban,29 reached the ACT target values.Of the 146 patients who did not use tirofiban,18 did not reach the ACT target values.After additional heparins were ...
Keywords:Activated Clotting Time  Heparin  Angioplasty  Transluminal  Percuteneous Coronary  Stent  
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