pci术后肌升高一例_李为民.pptVIP

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pci术后肌升高一例_李为民.ppt

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pci术后肌升高一例_李为民

术后肌酐升高一例 Cypher select 2.75x28mm The First Affiliated Hospital of Harbin Medical University 碘克沙醇(iodixanol): 210ml The First Affiliated Hospital of Harbin Medical University 5.4 141.7 2008-5-15 术后一周 132.8 163.1 147.2 135.3 SCr ?mol/L -2.5 27.8 11.9 ΔSCr ?mol/L 2008-6-7 术后一月 2008-5-9 术后三天 2008-5-8 术后一天 2008-5-6 术前 Def. Of CIN: 0.5 mg/dl or 25% increase Cr at 48 hours CIN × The First Affiliated Hospital of Harbin Medical University 71Y；GFR： 52.9 ml/min；DM 碘海醇 CIN 水化、碱化碘克沙醇他汀 CIN × 5Y 风险评估 + 有效措施 (180ml) (210ml) 76Y；GFR： 34.1 ml/min；DM Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. 肌酐：【参考值】男性：65～120μmol/L 女性：50～100μmol/L 与传统单位的换算公式为： mg/dl×88.5=μmol/L mol/L×0.0113=mg/dl Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. Angiography was performed Through the radial approach using a tiger catheter. * * * 哈尔滨医科大学附属第一医院心血管病医院心血管内科李为民李悦薛竞宜盛力 PCI 女，71岁阵发性心前区疼痛3年，加重1周高血压病15年糖尿病史8年心脏超声：左室舒张功能减低，EF：55% SCr： 96.3?mol/L 临床资料（2003-2） CAG 2003-2-12 LAD 近段高度狭窄 The First Affiliated Hospital of Harbin Medical University The First Affiliated Hospital of Harbin Medical University TSUNAMI 3.0 x 25 mm The First Affiliated Hospital of Harbin Medical University The First Affiliated Hospital of Harbin Medical University 碘海醇(iohexol):180ml 63.5 160.8 2003-2-20 术后一周 103.8 241.2 146.6 96.3 SCr ?mol/L 7.5 134.9 49.3 ΔSCr ?mol/L 2003-3-12 术后一月 2003-2-14 术后二天 2003-2-13 术后一天 2003-2-11 术前 The First Affiliated Hospital of Harbin Medical University