经皮血管内介入并发症的分析与防治  

Analysis of the causes and the prevention of complications in percutaneous transcatheter vascular interventional treatment

作　　者：孙晓龙[1] 石红春[1] 

机构地区：[1]重庆市急救医疗中心介入放射科,400014

出　　处：《重庆医学》2010年第19期2629-2630,共2页Chongqing medicine

摘　　要：目的探讨经皮血管内介入诊疗并发症的发生原因及防治措施。方法回顾性分析437例524次采用Seldinger技术经股动脉插管行介入诊疗术中或术后发生并发症及其发生原因。结果在437例524次中发生并发症20例次,其中,皮肤损伤0.4%(2/524),脊髓和神经根损伤0.2%(1/524),动脉夹层0.2%(1/524),导管打结和尖端断裂各0.2%(1/524),异位栓塞0.4%(2/524),迷走神经反射0.6%(3/524),对比剂过敏反应0.4%(2/524),股动脉严重痉挛0.2%(1/524),穿刺部位血肿1.1%(6/524)。结论加强介入诊疗的规范化和工作责任心是减少并发症的关键。Objective To study the causes and prevention of the complications of vascular interventional treatment.Methods To retrospectively study the complications and it＇s causes of interventional treatment catheterization of femoral artery by Seldinger technique in 437 patients underwent 524 times.Results There were 20 cases complications during or after interventional treatment in 437 patients,its included：skin damaging 0.4%（2/524）,spinal cord and nerve root injury 0.2%（1/524）,artery dissection 0.2%（1/524）,tying of the catheter 0.2%（1/524）,rupture of the catheter 0.2%（1/524）,cerebral thrombosis 0.2%（1/524）,adverse reactions to contrast media 0.4%（2/524）,serious arterial spasm in femoral artery 0.2%（1/524）and puncture site haematoma 1.1%（6/524）.Conclusion To operate formally and responsibly are most important to prevent the complications.

关 键 词：动脉 介入 并发症 

分 类 号：R815[医药卫生—放射医学]