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[接受经皮冠状动脉腔内血管成形术(PTCA)后的患者]

[The patient following PTCA].

作者信息

Klein W, Luha H, Eber B, Dusleag J, Brussee H, Rotman B

机构信息

Abteilung für Kardiologie, Universitätsklinik für Innere Medizin, Graz.

出版信息

Wien Med Wochenschr. 1990 Jun 15;140(10-11):273-4.

PMID:2368418
Abstract

Diagnostic measures after PTCA consist of history, clinical findings, after 3 months and thereafter in 6 months intervals as well as ergometry in case of recurrency of complaints of after 3 months and then in 6 months intervals. A thallium-scintigraphy is done eventually. A repetition of a coronarography is indicated only in cases of typical symptoms or registration of ischemia. Therapy consists of lifelong ASS and calcium channel blockers for 3 months and treatment of risk-factors. Repetition of a PTCA, atherectomy, stent-implantation, laser-angioplasty or bypass-surgery varies from case to case; the decision has to be made individually.

摘要

经皮冠状动脉腔内血管成形术(PTCA)后的诊断措施包括病史、临床检查结果,术后3个月起每6个月进行一次,若3个月后出现不适复发则进行运动试验,之后每6个月进行一次。最终进行铊闪烁扫描。仅在出现典型症状或记录到缺血时才需重复冠状动脉造影。治疗包括终身服用抗血小板药物(ASS)和3个月的钙通道阻滞剂,并治疗危险因素。PTCA、旋切术、支架植入、激光血管成形术或搭桥手术的重复实施需视具体情况而定;必须个体化做出决定。

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