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经皮冠状动脉介入诊疗慢性肾功能不全的临床研究

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摘要 目的研究经皮冠状动脉介入诊疗慢性肾功能不全的效果。方法选择2005年2月~2009年2月在我院心内科住院的拟行冠状动脉诊疗术的72例慢性肾功能不全患者及66例肾功能正常患者,均应用低渗非离子造影剂,测定介入诊疗前和术后第1、3、7d肾功能,对比分析造影剂肾病的发病情况。结果肾功能不全组共72例,22例发生CIN,发生率30.6%;肾功能正常组共66例,3例发生CIN,发生率4.5%。二者相比具有统计学意义,P值〈0.05。结论慢性肾功能不全患者行冠状动脉诊疗术后造影剂肾病的发生率明显高于肾功能正常组,大多数肾功能不全代偿期的造影剂肾病患者经围手术期水化等处理后能恢复至原来水平。
作者 徐占领
出处 《医学信息》 2010年第16期2609-2610,共2页 Journal of Medical Information
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参考文献5

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