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目的探讨冠状动脉介入检查和治疗中引发血管迷走神经反射发生的特点,寻求有效处理方法。方法总结59例冠状动脉介入检查和治疗中发生血管迷走神经反射患者的临床资料,分析其发生特点及处理方法。结果59例患者中,冠状动脉造影10例,冠状动脉介入术(PCI)49例。PCI中7例,术后拔鞘管前发生3例,拔管后30min内发生39例。51例在15~60min恢复,超过12h者8例。结论血管迷走神经反射发生多见于PCI者,及时有效诊治可避免发生严重后果。
Objective To investigate the characteristics of vasovagal reflex induced by coronary intervention and treatment and seek effective treatment. Methods The clinical data of 59 patients with vasovagal reflex during coronary artery interventional examination and treatment were summarized and their characteristics and treatment methods were analyzed. Results Of the 59 patients, 10 were coronary angiography and 49 were treated by coronary artery surgery. In 7 cases of PCI, 3 cases occurred before the sheath was removed and 39 cases occurred within 30 minutes after extubation. 51 cases in 15 ~ 60min recovery, more than 12h in 8 cases. Conclusions Vasovagal reflex occurs more frequently in patients with PCI, and timely and effective diagnosis and treatment can avoid serious consequences.