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目的探讨防治冠状动脉介入术并发对比剂肾病(CIN)的措施。方法对冠状动脉介入术后发生的CIN的病例的实验室检查、心电图、心脏彩超、冠脉影像、对比剂的应用进行分析。结果冠状动脉介入术并发CIN的患者均存在高危因素,或使用了较大剂量的对比剂,经水化治疗后预后较好。结论对患者进行危险因素评估、合理应用对比剂及水化治疗是预防CIN的关键。
Objective To investigate the prevention and treatment of coronary artery disease complicated with contrast nephropathy (CIN) measures. Methods The laboratory tests, electrocardiogram, echocardiography, coronary angiography, and contrast media were performed on CIN patients who had undergone coronary artery intervention. Results The patients with coronary artery disease complicated with CIN had high risk factors, or the use of larger doses of contrast agent, the prognosis was better after hydration therapy. Conclusion Risk assessment of patients, rational use of contrast agents and hydration therapy is the key to prevent CIN.