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題 名 | Multivessel Spasm during Coronary Angiographic Procedure in Catheterization Laboratory=在心導管室做冠狀動脈攝影時突發多條血管痙攣的二病例報告 |
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作 者 | 吳得進; 翁國昌; 林正盛; 詹貴川; 陳國勳; 林明正; 林中生; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 15:1 1999.01[民88.01] |
頁 次 | 頁45-50 |
分類號 | 415.213 |
關鍵詞 | 冠狀動脈痙攣; 造影劑; 類過敏反應; 異體質性反應; Coronary artery spasm; Contrast media; Anaphylactoid reaction; Idiosyncratic reaction; |
語 文 | 英文(English) |
中文摘要 | 在心導管室做血管攝影時,不管是使用含有碘的造影劑或者是使用非離子低張造影劑,都有引起突發冠狀動脈痙攣的可能。一位48歲女性以及一位72歲女性,在心導管室做冠狀動脈攝影,當2-3mL的Iopamiro(非離子低張造影劑)注射在左邊冠狀動脈時,突然心跳停止,意識消失。左前下枝以及左迴旋枝產生嚴重痙攣現象。經過治療,一例在15分鐘以後血壓恢復,但是心電圖呈現心肌傷害現象。另一例馬上恢復心臟功能,而沒有造成合併症。本報告描述二病例在少量的造影劑注射後,產生多條血管痙攣,而心跳停止,這是比較罕見的。其原因可能是類過敏或異體質性反應(anaphylactoid or idiosyncratic reactions)。術者必須注意這種反應的發生,注意觀察監視器的變化。 |
英文摘要 | Coronary artery spasm has been observed subsequently to the injection of iodinated and/or non-ionic low osmolar media. One 48-year-old female and one 72-year-old female developed left anterior descending (LAD) and left circumflex (LCX) arteries spasm following 2-3 mL test injection of Iopamiro into the left coronary artery. Cardiac arrest and transient loss of consciousness was noted. One patient responded to resuscitation 15 minutes later and myocardial injury due to LAD and LCX spasm was suggested. The other recovered very soon and did not have any complications. Two severe multivessel spasm cases provoked by contrast media were reported. Specific reactions (anaphylactoid or idiosyncratic) to the dye with severe vasoconstriction may be the most possible cause. It is important for the angiographer to be aware of the phenomenon and observe monitor changes during the procedure. |
本系統中英文摘要資訊取自各篇刊載內容。