冠状动脉造影250例并发症的防治

Prevention and treatment of complications in 250 cases of selective coronary arteriography

Selective coronary artcriographics and left ventricular ansgographics in 250 patients were studied for 299 times. 177 patients were males and 73 females, with 23 to 72 years of age. The pictures in the angiographic film were clear. The results showed that the coronary arteries had different stenosis in 155 cases (62%), while the coronary arteries were normal in the other 95 cases (38%). 348 complications were found The incidence of ventricular arrhythmia including ventricular premature beat (144 cases), ventricular tachycardia (75 cases) and ventricular fibrilation (2 cases) was 74%. The incidence of sinus bradycardia (80 cases) and sinus standstill (37 cases) was 39.2%. In addition, there were pathologic Q wave and scpticemia in one case (0.3%) respectively, and local hematoma in 8 cases (2.7%). All of the complications responded well to simple therapeutic measures and only two cases of ventricular fibrilation were resuscitated with electric dcflbrilation. The inddence of severe complications was considerably lower and there was no mortality Mowing coronary artcriography in this series. The experience and technique of the coronary artcriography were recommended The causes of the complications were analysed and the prevention and treatment of them were discussed briefly in this paper.