| 摘要: |
| 目的 探讨多巴酚丁胺负荷超声心动图结合心肌造影不良反应的临床特征及治疗对策。资料与方法 回顾性分析2015-2018年305例多巴酚丁胺负荷超声心肌造影检查,记录检查过程中受检者出现的最主要不良反应及给予的治疗措施。结果 305例受检者中,心律失常31例,所占比例最多,为36.5%,其次是低血压,为15.3%,出现最多在Peak阶段,占不良反应75.3%,其中大部分属于轻-中度不良反应事件。结论 尽管多巴酚丁胺负荷超声心动图结合心肌造影会发生一些不良反应,但只要在检查过程中做好充足的准备,并积极对症处理,产生严重不良后果几率小,此项新技术在临床冠心病的诊断及排查中开展是安全、可行的。 |
| 关键词: 心肌造影 负荷超声 多巴酚丁胺 不良反应 冠心病 |
| DOI： |
| 投稿时间：2019-03-12修订日期：2019-03-25 |
| 基金项目: |
|
| Clinical analysis of adverse reactions in 305 cases of dobutamine loading echocardiography combined with myocardiography |
| linshuihua |
| (The University of Hong Kong-Shenzhen Hospital) |
| Abstract: |
| Objective To investigate the clinical characteristics and therapeutic strategies of dobutamine stress echocardiography combined with myocardial angiography. Materials and Methods Retrospective analysis was performed on 305 cases of dobutamine loading myocardial angiography from 2015 to 2017, and the main adverse reactions and treatment measures were recorded. Results Among the 305 patients, 31 had arrhythmia, accounting for 36.5%, followed by hypotension, 15.3%, which occurred most in Peak stage, accounting for 75.3% of adverse reactions, most of which were mild to moderate adverse reactions. Conclusion Although dobutamine loading echocardiography combined with myocardial angiography may cause some adverse reactions, this new technique is safe and feasible in the diagnosis and screening of clinical coronary heart disease as long as adequate preparations are made in the examination process and symptomatic treatment is actively carried out, with a small probability of serious adverse consequences. |
| Key words: myocardiography Ultrasonic loading Dobutamine Adverse reactions Coronary heart disease (CHD) |
