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1.
吕涛 《赤峰学院学报(自然科学版)》2015,(13)
目的：比较经桡动脉和经股动脉介入治疗冠心病的临床疗效和优势.方法：收集2009年10月至2012年3月于我院接受冠心病介入手术治疗的78例患者,其中48例患者接受经桡动脉介入手术（为经桡动脉组）,30例患者接受经股动脉介入手术（为经股动脉组）,比较两种术式患者的平均穿刺时间、术中动脉痉挛发生率、手术成功率及术后并发症.结果：经桡动脉组患者平均穿刺时间较经股动脉组时间长（P＜0.05）,且术中动脉痉挛发生率较经股动脉组高（P＜0.01）,两组手术成功率无显著性差异（P＞0.05）,但经桡动脉组的术后并发症远低于经股动脉组（P＜0.01）.结论：经桡动脉介入手术治疗冠心病创伤小、并发症少、住院时间短,是一种安全可行的介入术式,值得临床推广和应用. 相似文献
2.
近年来,随着我国经济快速发展和人民生活水平的不断提高,冠心病的发病呈明显上升趋势,年龄趋于年轻化,病死率明显上升,所以冠心病的防治任务迫在眉睫。冠心病的治疗主要包括药物治疗、经皮冠状动脉介入治疗和冠状动脉旁路移植术,我科开展了经桡动脉介入治疗,具有出血少和血管并发症少, 相似文献
3.
目的:分析冠心病患者冠状动脉介入治疗的并发症发生率、发生原因和防治措施.方法:应用回顾性调查的方法对在本院心内科于2002.9～2004.5月完成冠心病介入治疗371例的主要并发症进行统计分析.结果:我科进行冠状动脉介入治疗共371例;总并发症发生率5.12%,冠状动脉痉挛1.62%、急性闭塞0.27%无再流1.08%,室颤0.27%、冠状动脉夹层1.35%、支架内急性血栓形成0.54%等.结论:随着经验的积累和介入器械的改进,介入治疗并发症发生率降低,但仍应引起介入医师的重视. 相似文献
4.
目的:探讨经桡动脉途径进行冠脉介入的可行性和安全性.方法:采用回顾性调查的方法对本院2002.9～2005.3月300例经桡动脉途径完成冠脉介入临床资料进行统计分析.结果:行冠状动脉造影术182例,行冠脉介入治疗118例,桡动脉穿刺成功率为99.3%.结论:经桡动脉途径进行冠脉介入是可行的和安全的,并发症少,痛苦少. 相似文献
5.
李付芳 《中国科教创新导刊》2008,(26)
随着社会的发展和生活水平的提高,冠心病的发病率呈逐年上升趋势,冠状动脉介入治疗是诊断、治疗冠心病的新技术。由于其创伤小、安全、疗效肯定,成功率高,患者易接受等优点,在临床上得到越来越广泛的应用。我院自2004年-2007年共收治冠心病患者726例,有413例做冠状动脉造影术,其中116例置入冠脉内支架1～5个。现将其介入治疗及护理报告如下。 相似文献
6.
目的探讨急诊介入治疗急性心肌梗死（acute myocardial infarct,AMI）的护理程序及注意要点。方法对我院2005年7月至2008年6月69例AMI行急诊经皮冠状动脉介入治疗（percutaneous coronary intervention,PCI）的患者实施术前、术中、术后护理及健康指导等围手术期护理程序。结果实施正确的护理后,手术获得成功,术后恢复良好。结论正确落实各阶段的护理措施,是减少急诊冠状动脉介入治疗围手术期意外和各种护理并发症的关键,为患者迅速康复打下良好的基础。 相似文献
7.
约有20%—30%的冠心病患者既不能用PCI(冠状动脉介入术),也不宜行CABC(冠状动脉搭桥手术)治疗,虽经积极的药物治疗,仍无法消除心肌缺血症状.因此通过寻找新的治疗途径:肌浆网钙ATP酶2a基因转导、缺氧诱导因子—1α(HIF-1α)、RNA干扰和增强型体外反搏(external counlerpulsation,EECP)等基因治疗方法,通过基因促进心肌细胞的收缩及舒张功能;促进血管新生治疗缺血性心脏病提供新思路,已经成为临床研究的重要课题. 相似文献
8.
滕菲 《赤峰学院学报(自然科学版)》2015,(1):12-14
冠状动脉粥样硬化性心脏病(冠心病)即将成为危害全人类健康的头号致死杀手.其中,急性心肌梗死的发病率亦逐渐上升,其发病突然和进展迅速的特点已使急性心梗备受人们的重视.目前,经皮冠状动脉介入治疗(PCI)已经成为急性心肌梗死血运重建的重要治疗手段之一.我国对于此治疗手段的研究和应用也越加广泛和深入.然而,在PCI术中和术后也会产生许多并发症,如出血、尿潴留、急性心包填塞、慢血流和无复流、支架内血栓形成、心脏骤停等,其中,一些严重的并发症甚至会危及患者生命.所以,对严重并发症的正确分析和及时的治疗会直接影响到患者手术的预后.本文即旨在对PCI后严重并发症的产生原因和机制、治疗方法和进展进行综述. 相似文献
9.
10.
蔡金玲 《河北北方学院学报(医学版)》2009,26(2)
冠状动脉造影术是目前诊断冠心病最准确的方法之一,它是采用介入的方法,应用在X线下显影的造影剂,对冠状动脉进行检查,主要用于了解冠状动脉有无狭窄及其狭窄程序,是诊断冠心病的可靠手段.现将我科2006-11-2007-11月的40例冠状动脉造影术后患者常规护理及体会报告如下. 相似文献
11.
To evaluate the clinic outcome of off-pump coronary bypass grafting (OPCABG) of patients with coronary heart disease and chronic obstructive pulmonary disease, we collected and analyzed 1998-2002 data on 28 patients with these two diseases who had received off-pump coronary bypass operation in our hospital, and compared with data on those who also had the same two diseases but received on-pump coronary artery bypass at same time. There were no operation-related death;one died of respiratory failure 14 days after operation while staying in hospital; there were more respiratory complications in the conventional coronary artery bypass grafting group (CCABG) than in the OPCABG group; and the PaO2/FiO2 in the CCABG group was higher than that in the OPCABG group during operation because of CPB, but lower than that in the OPCABG group 6-12 hours after operation. OPCABG seemed more suitable than CCABG for coronary artery disease patients with chronic obstructive pulmonary disease due to less damage to their oxygen-exchange capability and the fewer respiratory complications. 相似文献
12.
INTRODUCTION Conventional coronary artery bypass graftin(CCABG) with cardiopulmonary bypass (CPB) habeen accepted as an effective and safe treatment fomulti-vessel coronary heat disease. CPB may stilcontribute to the operation field because of threlatively easier technical requirement; but it alscauses a serious systematic inflammatory reactiowhich will lead to dysfunction of important organand higher cost for the patients. Off-pump coronarartery bypass grafting (OPCABG) has r… 相似文献
13.
目的:探讨心理干预对冠心痛介入术(PTCA)治疗患者身心康复的影响.方法:冠心病患者40例,随机分为实验组和对照组各20例,均行经皮冠状动脉腔内成形术(PTCA)治疗,术前后实验组患者配合系统的心理干预,对照组按常规护理.结果:抑郁和焦虑自评量表(SDS、SAS)评分入院时2组比较差异无显著性意义.PTCA后实验组SAS及SDS评分较治疗前及对照组比较均明显下降(P0.01).结论:心理干预对PTCA后患者的身心康复有明显促进作用. 相似文献
14.
Woo Taek Kim Sung Gyun Ahn Jun-Won Lee Joong Kyung Sung Seung Hwan Lee Junghan Yoon 《Journal of Zhejiang University. Science. B》2010,11(8):627-630
It is a challenge to confirm chronic mesenteric ischemia (CMI) as a cause of gastrointestinal (Gl) symptoms such as postprandial epigastric bloating,anorexia,and debilitating weight loss.Endovascular intervention for CMI has been gaining popularity because of the high morbidity associated with surgical revascularization.However,in EVI for superior mesenteric artery (SMA) occlusion,the transfemoral approach is limited by difficulty in coaxial alignment of the guiding catheter,which leads to insufficient back-up support.Herein,we report on a 58-year-old male patient with chronic total occlusion of the SMA,which was successfully revascularized by endovascular intervention via the left radial artery.Transradial endovascutar therapy may be another treatment option for the treatment of CMI. 相似文献
15.
Coronary artery bypass grafting surgery is increasingly being carried out on patients with multi-vessel coronary artery disease,
but the best grafting candidate for non-left anterior descending coronary arteries is unclear. This research sought to systematically
compare the efficacies and safeties of coronary bypass with radial artery and other available grafts. A systematic literature
retrieval was performed for all clinical trials comparing the outcomes of coronary artery bypass surgery with radial artery
and other grafts in PubMed, EMBASE, and the Cochrane Library. Seven eligible clinical studies, comparing radial artery and
great saphenous vein grafts, were found between 1966 and 2010: one prospective non-randomized and six prospective randomized
trials. The pooling analysis obtained a relative risk of 0.507 (P<0.05) of graft occlusion in radial arteries compared with great saphenous veins. There was a significantly lower infection
rate in arms (i.e., harvest sites for radial arteries) relative to legs (harvest sites for veins), with a pooled relative
risk of 0.140 (P<0.05). From the reports on mortality after follow-up ranging from one year to six years, there was no significant difference
in mortality between the two graft types (P=0.927). In addition, four cohort controlled trials for radial and right internal thoracic artery grafts were included. The
radial graft was associated with less cardiac related events relative to the right internal thoracic artery graft (P=0.014), but with comparable mortality and comparable rates of repeat percutaneous transluminal coronary angioplasty. Subjects
with radial arteries seemed to have a lower occlusion rate and a lower graft harvest site infection rate than those with great
saphenous veins. Moreover there were fewer cardiac related events with radial arteries relative to the right internal thoracic
artery grafts. More studies are needed to confirm these findings concerning the favorable outcomes of coronary artery bypass
grafting with radial arteries on long-term patency and mortality. 相似文献
16.
王立春 《泰州职业技术学院学报》2011,11(1):1-3
临床路径工作模式已被运用于冠状动脉造影、急性心肌梗死、介入治疗、冠状动脉搭桥术、冠心病健康宣教等临床工作,并取得一定成效,通过对现状进行分析与讨论,指出在冠心病诊疗中使用临床路径工作模式有利于提高工作效率与服务质量。 相似文献
17.
目的观察糖皮质激素联合免疫抑制剂治疗多发性大动脉炎疗效。方法回顾性分析襄阳市襄州区人民医院收治的6例多发性大动脉炎诊断治疗情况。结果 2例病情缓解,包括临床症状缓解或消失,ESR和CRP恢复正常,病情缓解后激素减量维持;1例出现病情复发,复发后联合细胞毒药物及激素治疗,糖皮质激素自始起量开始,病情得到控制;3例患者动脉狭窄严重的行介入治疗后给予小剂量激素维持治疗。结论多发性大动脉炎由于病因不明,早期无特异性症状,早期诊断较困难;确诊后,用糖皮质激素联合免疫抑制剂治疗,对于无严重动脉狭窄的患者能较好地改善症状。 相似文献
18.
Objective： To evaluate the surgical clinical results of hypertrophic obstructive cardiomyopathy. Methods： We retrospectively collected data on 24 patients who underwent surgical management in the past ten years in two hospitals in China and Madras Medical Mission in India. Myomectomy was carried out on all patients. Among them 3 patients underwent mitral valve replacement; 2 patients underwent mitral valve repair （anterior mitral leaflet plication）; 2 patients underwent aortic valve replacement; 1 patient underwent aortic valve repair; 2 patients underwent aortic root replacement; 1 patient underwent Bentall＇s procedure and 1 patient underwent coronary artery bypass grafting because of a breached muscle bridge, Results： One patient died of post-operative heart failure. The mean follow-up time was 4.3 years, There was significant improvement in the symptomatic status. Sixteen patients were asymptomatic with good effort tolerance and only four patients had New York heart association （NYHA） Classes Ⅰ-Ⅱ due to associated valvular lesions, Conclusion： Our experience proved that symptomatic hypertrophic obstructive cardiomyopathy or non-symptomatic hypertrophic obstructive cardiomyopathy with combined heart disease is indication for surgery as surgical intervention could get better clinical results in this kind of patients compared with other non-surgical method because it beneficially reduces the systolic anterior motion （SAM） of the mitral valve leaflet, which could not be avoided by other non-surgical treatment. 相似文献
19.
Hong-bing Yan Bin Zheng Zheng Wu Jian Wang Han-jun Zhao Li Song Yun-peng Chi 《Journal of Zhejiang University. Science. B》2010,11(8):561-567
Renal artery stenosis (RAS) with a bifurcation lesion is a challenge for interventional therapy. The aim of this study is to summarize our experience in RAS with a bifurcation lesion. Five patients with RAS involving bifurcation lesion are described. In cases 1 to 3, a single-stent strategy was first adopted. However, these three patients were converted to a two-stent strategy for bailout stent implantation in the side branches. In cases 4 and 5, a simultaneous kissing stent technique was performed. Angiography showed that the reference vascular diameter of the main branch was much larger than those of the side branches. Although obvious residual stenosis existed in cases 1 to 3 after stent implantation, no obvious residual stenosis was seen in cases 4 and 5. Renal artery duplex sonography was performed in cases 1 through 5 at 6, 7, 7, 8, and 6 months, respectively, after the procedures. No evidence of restenosis or occlusion was seen. In conclusion, stent implantation with the simultaneous kissing stent technique may result in more simple and more satisfactory immediate angiographic results. 相似文献
20.
应用实时三维超声心动图评价冠心病患者经皮冠状动脉介入术(PCI)后左室收缩功能的变化。研究对象分为两组,正常组14例为冠脉造影无异常发现者,冠心病组49例行冠脉内支架治疗。所有患者均于术前及术后14天行实时三维超声检查,测得左室收缩末容积(LVESV)、左室舒张末容积(LVEDV)及左室射血分数(LVEF)。结果,正常组术前与术后LVESV、LVEDV及LVEF差异无统计学意义;冠心病组术后LVESV、LVEDV显著小于术前(P<0.001),LVEF显著高于术前(P<0.001)。结果表明,实时三维超声心动图能准确评价左室收缩功能,冠心病患者PCI后左室收缩功能明显改善。 相似文献