摘要
目的:探讨老年冠心病患者合并肾功能不全时行心脏介入治疗的必要性,及如何避免和减轻造影剂肾损害。方法:回顾性总结老年冠心病合并肾功能不全患者行心脏介入性检查和治疗的临床特点及造影剂对肾功能的影响。结果:3例患者行经皮冠状动脉球囊成形术及支架植入术均取得成功,随诊10～12个月,临床症状缓解。通过减少造影剂的用量、手术前后加强输液和充分血透等措施来预防和治疗造影剂肾损害。结论:老年冠心病合并肾功能不全患者接受心脏介入治疗是有益的,造影剂肾损害可以预防和治疗。
Objective: To study the efficacy of percutaneous coronary intervention for the elderly patients of coronary heart disease with renal insufficiency and the methods to prevent contrast - induced nephrotoxieity. Methods: The clinical data of three cases which included clinical manifestation, result of balloon angioplasty and coronary stenting and side - effect of contrast to renal function were reviewed. Results: All of the cardiac intervention procedures were successful. The nephrotoxicity caused by contrast could be prevented and cured hy decreasing the amount of contrast, using low osmolar and nonionie contrast, hemodialysis and intravenous hydra-tion before and after procedure. Conclusion: Elderly patients of coronary heart disease with renal insufficiency can benefit from balloon angioplasty and coronary stenting. Nephrotoxicity caused by contrast is preventable and curable.
出处
《中国医药导刊》
2002年第3期162-164,共3页
Chinese Journal of Medicinal Guide
