选择性冠状动脉造影术的并发症及其防治

对３７３例选择性冠状动脉造影术（ＳＣＡ）的并发症进行总结。共发生严重并发症３７例，包括室性心动过速或（和）室颤６例（１．６％）、急性心肌梗塞２例（０．５４％）、动脉血栓２例（０．５４％）、股动脉穿刺部血肿２６例（７％）、动脉夹层１例（０．２７％）。认为术前了解患者病情，术中按操作规程进行插管，动作轻柔，密切观察患者主动脉压力、心电图变化及冠状动脉侧枝循环征象，尽可能缩短手术时间等，对减少ＳＣＡ的并发症是十分重要的。

Prevention Experience of Complications of Selective Coronary Angiography

Selective coronary angiography(SCA)is very accurate diagnostic method for coronary heart disease.To evaluate the safety of SCA.Severe complications of 373 patients with SCA were analysed. Ventricular tachycardia/ventricular fibrillation 6 cases, acute myocardial infarction 2 patients ,arterial thrombus 2 cases,location hematoma 26 cases,arterial dissection 1 case. To reduce the complication of SCA,we must abide the rule as follows:1.To understand the patient's information;2.to abide by operation precedures;3.to observe closely the changes of aorta arterial presure and electrocardiogram during SCA; 4.to shorten the operation time of SCA.