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冠心病介入治疗致造影剂肾病98例临床分析
引用本文:王海波,吴强,李世杰,娄明. 冠心病介入治疗致造影剂肾病98例临床分析[J]. 疑难病杂志, 2011, 10(3): 171-172. DOI: 10.3969/j.issn.1671-6450.2011.03.003
作者姓名:王海波  吴强  李世杰  娄明
作者单位:江苏省徐州中心医院心内科,221009
摘    要:目的探讨冠心病介入治疗发生造影剂肾病(CIN)的影响因素及预防措施。方法回顾性分析2008年1月—2009年12月1700例行冠心病介入治疗的患者,分析CIN发生的危险因素以及预防性措施。结果 CIN总发生率为5.76%(98/1700)。CIN组合并高血压病、糖尿病、原有肾功能不全病史比例明显高于非CIN组(P<0.05),而LVEF以及24 h水化量明显低于非CIN组(P<0.05)。结论冠心病介入术前应积极评估患者的危险因素,同时应用水化疗法预防,可以最大限度地改善及纠正危险因素,尽量避免CIN的发生。

关 键 词:冠心病介入治疗  造影剂肾病  影响因素  预防

98 cases of contrast-induced nephropathy in patients who underwent coronary artery intervention
WANG Hai-bo,WU Qiang,LI Shi-jie,et al.. 98 cases of contrast-induced nephropathy in patients who underwent coronary artery intervention[J]. Journal of Difficult and Complicated Cases, 2011, 10(3): 171-172. DOI: 10.3969/j.issn.1671-6450.2011.03.003
Authors:WANG Hai-bo  WU Qiang  LI Shi-jie  et al.
Affiliation:WANG Hai-bo,WU Qiang,LI Shi-jie,et al.Department of Cardiology,Xuzhou Central Hospital,Jiangsu Province,Xuzhou 221009,China
Abstract:Objective To investigate the influence factors and prevention of contrast-induced nephropathy(CIN) in patients who underwent coronary artery intervention.Methods 1700 patients who underwent PCI or coronary angiograph from January 2008 to December 2009 were enrolled in this study.Clinical characteristics,risk factors and preventive actions were investigated.Results Among the 1700 patients,98 patients(5.76%) developed CIN.Compared with the non CIN patients, the incidence of pre-existing renal dysfunction,hype...
Keywords:Coronary artery intervention therapy  Contrast-induced nephropathy  Influence factors  Prevention  
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