| 扩容、止痛减少经皮腔内冠状动脉成形术后血管迷走神经反射的研究 |
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| 引用本文： | 于心亚,刘朝中,黄丛春. 扩容、止痛减少经皮腔内冠状动脉成形术后血管迷走神经反射的研究[J]. 临床内科杂志, 2004, 21(6): 395-396 |
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| 作者姓名： | 于心亚 刘朝中 黄丛春 |
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| 作者单位： | 100036,北京,空军总医院心血管内科 |
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| 摘 要： | 目的 了解经扩容、止痛处理对减少经皮腔内冠状动脉成形术(PTCA)后血管迷走神经反射的作用。方法 将PTCA术后56例冠心病患者随机分为预防组和对照组，前者在拔除股动脉鞘管前给予扩容及止痛处理，后者直接拔管。结果 扩容及止痛处理后，预防组PTCA术后血管迷走神经反射发生率较对照组减少25．13％。结论 PTCA术后拔管前进行扩容和止痛处理能有效预防血管迷走神经反射，可作为常规预防方法。
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| 关 键 词： | 经皮腔内冠状动脉成形术 血管迷走神经反射 |
| 文章编号： | 1001-9057(2004)06-0395-02 |
| 修稿时间： | 2004-03-26 |
Study on fluid expansion and pain relief reducing vasovagal reactions after off-sheath |
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| YU Xinya,LUI Chaozhong,HUANG Congchung. Study on fluid expansion and pain relief reducing vasovagal reactions after off-sheath[J]. Journal of Clinical Internal Medicine, 2004, 21(6): 395-396 |
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| Authors: | YU Xinya LUI Chaozhong HUANG Congchung |
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| Affiliation: | YU Xinya,LUI Chaozhong,HUANG Congchung.Department of Cardiology,Air Force General Hospital,Beijing 100036,China |
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| Abstract: | Objective To investigate the effect of fluid expansion and pain relief in reducing vasovagal reactions after off-sheath.Methods 56 patients after PTCA were randomly divided into preventing group and control group.The preventing group was given dextran 40 in vein and local lidocaine before off-sheath,but the control group was directly off-sheath.Results The vasovagal reactions of the preventing group was reduced 25.13% compairing with the control group.Conclusion The fluid expansion and pain relief before off-sheath can effectively prevent the incidence of Vasovagal Reactions. |
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| Keywords: | PTCA Vasovagal Reactions |
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