成功抢救指引导管致冠状动脉多处夹层临床分析——附1例报道

来源 :临床心血管病杂志 | 被引量 : 0次 | 上传用户:zhu_2009
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冠状动脉(冠脉)夹层是冠脉介入治疗中的一种较为常见的并发症,其预后与发生的部位、程度及累及范围有关,有时可造成极为严重的后果,如急性心肌梗死、心源性休克,甚至死亡。本文就1例成功抢救多发冠脉夹层报道如下。1病例资料患者,女,65岁,主因间断胸闷、气促8年余,加重2天,再发10h入院。患者自诉8年前因活动后出现胸闷、气促,呈胸骨后憋闷感,并向双侧颊部放射,偶出现牙关发紧,汗出,休息后3~5min缓解。 Coronary artery (coronary) dissection is a relatively common complication of coronary intervention. The prognosis is related to the site, degree and extent of involvement. It can sometimes cause extremely serious consequences such as acute myocardial infarction, cardiogenic Sexual shock, or even death. In this paper, a successful rescue of multiple coronary dissection reported below. Case data 1, female, 65 years old, mainly due to intermittent chest tightness, more than 8 years of shortness of breath more severe 2 days, re-issued 10h admission. Patient self-prosecution 8 years ago after the event of chest tightness, shortness of breath, was chest sense of keeping feel, and to the bilateral cheeks radiate, even teeth tightening, sweating, rest 3 ~ 5min ease.
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