心血管介入诊疗术后迷走反射的预防及处理

,(3):,,;,PCI,,PCI,2010-05-12::,130041:[e-mail]:1005-2194(2010)07-0603-02,-:R5:A,,,2,,:,,,,,,:;Preventionandtreatmentofvagusreflexafterpercutane2ouscoronaryintervention.LIUBin,WANGJun2nan.NormanBethuneSecondHospital,JilinUniversity,Changchun130041,ChinaSummary:Vasovagalreflexisoneofcomplicationsfromcardiacintervention.Themajorcausesofvasovagalreflexpost2procedurearecommonlybelievedtobeassociatedwithmentalstress,pain,lowbloodvolume,visceraldilation,localhematomaandcardiacfunction.Theincidenceofvasovagalreflexmaybeeffectivelyreducedwithstandardinterventiontraining,strictlyselectedindicationsforPCI,adequatefluidreplacementafterprocedure,anestheticlidocainetoreducepain,improvedmanu2alcompressionforvascularhemostasisandeliminationofriskfactors.Keywords:cardiacinterventional;vasoragalreflex,,,,,,,,,,,,,,,,,,M,,,,30s(1):,,,,,,,,(2):,,,,,,(3):,,,,,,(4):,,30620107307,,1224h,,,,(5),,,,,,,,,,,,,(6),,,,,,(7),,,:(1),,,,,,,,,,10mg(2),,,,,,,(),,(3)4h,4h5001000mL,,,,(4),,3h,,;,500mL,,,,,12h,,(5),(6),,,,,,;,,,,:,,1mg20mg,1%5mL,,,,,1530min6h,12h,;,,,,:(1),,(2),,,,,50/min,1mg,,015110mg;90/60mmHg(1mmHg=01133kPa)510mg,250mL+100mg,,,,,,,,,,,,,,,,,,,,2010-05-12:406ChineseJournalofPracticalInternalMedicineJul.2010Vol.30No.7