100例冠脉造影共用管经桡动脉行心脑血管联合造影的可行性研究

发布时间：2018-05-28 00:14

本文选题：冠状动脉血管造影术 + 心脑血管　；参考：《重庆医学》2017年27期

【摘要】：目的探讨冠脉造影共用管经桡动脉行心脑血管联合造影的可行性。方法将100例脑血管疾病合并心血管疾病患者分为观察组和对照组。观察组采用冠脉造影共用管经桡动脉进行穿刺造影,对照组采用常规右侧股动脉穿刺法进行穿刺造影。对观察组患者的造影成功率进行观察记录;同时对两组患者术中X线片曝光时间、手术时间、术中出血量、自主活动时间、住院时间、造影剂用量及术后穿刺部位的并发症发生情况进行对比分析。结果右侧冠状动脉及右侧全脑血管的检查成功率均是100%,而左侧锁骨下动脉及左侧椎动脉的检查成功率均为96%,左侧颈动脉及左侧冠状动脉的检查成功率为98%。导致左侧冠状动脉及左侧全脑血管采用共用管未能完全造影成功的原因主要是患者主动脉弓过于迂回、弯曲或动脉的开口过于靠后。观察组患者的平均手术时间、X线片曝光时间及造影剂用量均少于对照组(P0.05)。观察组患者术中出血量明显少于对照组,且观察组患者自主活动时间及住院时间均短于对照组(P0.05)。观察组患者穿刺后出现并发症例数明显低于对照组(P0.05),无患者出现严重出血及皮肤溃烂等严重并发症。结论冠脉造影共用管经桡动脉行心脑血管联合造影是一种安全、简单且效率高的诊断方法。
[Abstract]:Objective to investigate the feasibility of coronary angiography with common tube through the radial artery and cardio cerebral angiography. Methods 100 cases of cerebrovascular disease combined with cardiovascular disease were divided into observation group and control group. The observation group adopted coronary angiography with common tube through the radial artery for puncture contrast, and the control group was punctured by the conventional right femoral artery puncture method. The imaging success rate of the patients in the observation group was observed and recorded. At the same time, the exposure time, the time of operation, the amount of bleeding, the time of self movement, the time of hospitalization, the dosage of contrast agent and the complication of the puncture site were analyzed in the two groups of patients. Results the results of the right coronary artery and the right whole brain blood vessel were examined. The successful rate of examination was 100%, while the success rate of the left subclavian and left vertebral arteries was 96%. The success rate of the left carotid artery and left coronary artery was 98%. leading to the failure of the left coronary artery and the left whole brain vessel. The average operation time of the observation group, the exposure time of X-ray and the dosage of contrast agent were less than that of the control group (P0.05). The amount of bleeding in the observation group was significantly less than that of the control group, and the time and the time of hospitalization of the patients in the observation group were shorter than that of the control group (P0.05). The number of complications in the observation group after the puncture was the number of complications. It was significantly lower than the control group (P0.05), and no severe complications such as severe bleeding and skin ulceration were found in the patients. Conclusion coronary angiography with the common tube through the radial artery and cardio cerebral angiography is a safe, simple and efficient diagnostic method.
【作者单位】：贵州医科大学第三附属医院老年病科;
【基金】：贵州省黔南州社会发展科技计划项目(黔南科合[2012]23号)
【分类号】：R54;R743

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