梗阻性肥厚型心肌病无水酒精室间隔消融术中的并发症及处理

目的：总结梗阻性肥厚型心肌病（ＨＯＣＭ）无水酒精室间隔消融术中并发症及处理，以提高对其术中并发症的认识及处理的水平。方法：对１３ 例ＨＯＣＭ 患者行无水酒精室间隔消融术，注射无水酒精量为１．５～５ ｍ ｌ。消融成功率达１００％ 。结果：术中并发症９／１３ 例次，发生率６９．２％ ，其中以术中注无水酒精时血压下降为最严重，心绞痛最多见。结论：无水酒精室间隔消融术，虽有很好的临床效果，但也会引起一些并发症，如处理不当，甚至会造成死亡，应引起重视

Complications and management of hypertrophic obstructive cardiomyopathy in percutaneous transluminal septal myocardial ablation in hypertrophic obstructive card-iomayopathy

Objective:To sum up the complications and the managenent of hypertrophic obstructive cardiomyopathy percutaneous transluminal sepotal myocarcdial ablation in hypertrophic obstructive cardiomyopathy to improve the levels of the management.Methods:Through giving thirteen patients with hypertrophic obstructive cardiomyopathy percutaneous transluminal sepotal myocardial ablation in hypertrophic obstructive cardiomyopathy,absolute alcohol was injected from 1.5 to 5 ml and we achieved 100% cases of wonderful effects.Results:Complications occurred in 9/13 cases.Incidence was 69.2%.Hypotension was very serious.Angina pectoris was very common.Conclusion:Although percutaneous transluminal sepotal myocardial ablation in hypertrophic obstructive cardiomyopathy has good effect on clinical manifestations,it also causes death.So we should pay much attention to it.