pci术后肌升高一例_李为民.ppt

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