论文部分内容阅读
目的探讨冠状动脉造影引起颅内出血的原因、临床表现和预防措施。方法回顾性分析我院收治的1332例冠状动脉造影,其中12例在造影操作过程中和其后的24 h内出现颅内出血。结果冠状动脉造影出血组与非出血组在既往房颤病史和糖尿病病史方面比较均无显著性差异,而在高血压、脑卒中、吸烟和冠心病病史方面两组间有显著性差异。术前患者血压检查非出血组平均为145.8/90.2 mmHg,出血组为165.9/105.5 mmHg,P<0.01,两组间有显著性差异。结论冠状动脉造影检查引起的颅内出血是综合因素所致,其中控制效果不好的高血压病史是引起颅内出血的重要原因,而术前和术中的血压升高是引起颅内出血的主要原因。
Objective To investigate the causes, clinical manifestations and preventive measures of intracranial hemorrhage caused by coronary angiography. Methods Retrospective analysis of 1332 cases of coronary angiography in our hospital, including 12 cases of intracranial hemorrhage during and after angiography operation within 24 hours. Results There was no significant difference in the history of previous atrial fibrillation and non-hemorrhage between the two groups in the history of coronary artery angiography and non-hemorrhage. There was significant difference between the two groups in the history of hypertension, stroke, smoking and coronary heart disease. Preoperative blood pressure examination non-bleeding group average 145.8 / 90.2 mmHg, bleeding group was 165.9 / 105.5 mmHg, P <0.01, there was a significant difference between the two groups. Conclusion Intracranial hemorrhage caused by coronary angiography is caused by a combination of factors. Among them, the history of hypertension with poor control effect is the major cause of intracranial hemorrhage. The preoperative and intraoperative high blood pressure are the main causes of intracranial hemorrhage.