目的:通过病例报道认识造影剂脑病的诊疗策略。方法:回顾分析1例经皮冠状动脉介入治疗术导致造影剂脑病的临床资料,分析其致病原因、临床表现、诊治策略和预后。结果:造影剂脑病是一种少见的由造影剂引起的神经功能紊乱的不良反应,确诊后应积极治疗,可防止脑功能不可逆的损害。结论:造影剂脑病的病因复杂,应首先排除威胁生命的病症,积极处理,预后良好。 Objective: To understand the diagnosis and treatment strategy of contrast encephalopathy through case reports. Methods: The clinical data of a case of contrast encephalopathy caused by percutaneous coronary intervention were retrospectively analyzed. The causes, clinical manifestations, diagnosis and treatment strategies and prognosis were analyzed. Results: Contrast encephalopathy is an adverse reaction accompanied by a neurological disorder caused by a contrast agent. Active treatment should be done after diagnosis to prevent irreversible damage to brain function. Conclusion: The etiology of contrast-enhancing encephalopathy is complex. It should first be excluded from life-threatening conditions, and then actively treated, and the prognosis is good.
吕 畅,赵 茜,李冠青,郭 慧,李建国. PCI术后造影剂脑病1例及诊疗策略A Case of Contrast-Induced Encephalopathy Induced by a Percutaneous Coronary Intervention and Its Diagnosis and Treatment Strategy[J]. 临床医学进展, 2019, 09(11): 1334-1338. https://doi.org/10.12677/ACM.2019.911206
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