脑血管造影术后并发急性肺栓塞临床分析(附11例报道)  

Clinical evaluation of acute pulmonary embolism after cerebral angiography(report of 11 cases)

作　　者：凌天金[1] 刘娟[2] 姚国恩[3] 周华东[2] 蒋晓江[2] 许志强[2] 

机构地区：[1]四川省资阳市第一人民医院神经内科,641300 [2]第三军医大学大坪医院野战外科研究所神经内科,重庆400042 [3]解放军总医院第一附属医院神经内科,北京100037

出　　处：《重庆医学》2013年第18期2110-2111,2114,共3页Chongqing medicine

摘　　要：目的回顾性报道脑血管造影术后并发急性肺栓塞的临床诊治过程,探讨肺栓塞发生原因及防治措施。方法 11例缺血性脑血管病老年患者,脑血管造影术后活动中出现突发意识丧失、癫痫、胸痛、呼吸困难、心悸等症状,肺动脉CTA确诊为肺栓塞。结果 2例患者行心肺复苏,1例经静脉溶栓,8例进行抗凝治疗,其中死亡3例,8例经治疗后好转。结论肺栓塞是经股动脉脑血管造影术后少有的并发症,临床易误诊、漏诊,术前评估及预防性治疗极为重要。Objective To retrospective analyze the cause of pulmonary embolism after cerebral angiography.Methods Eleven patients with ischemic cerebralvascular disease who showed loss of consciousness,epilepsy,chest pain and palpitation after cerebral angiography.Pulmonary vascular computed tomography were taken to diagnose pulmonary embolism.Results Two patients were given cardiopulmonary recovery,one given intravenous thrombolysis,eight given anticoagulant therapy.Eight patients were getting better,three patients died.Conclusion Pulmonary embolism is a rare complication after cerebral angiography which is apt to misdiagnosis and missed diagnosis,It′s very important to make assessment and prevention before operation.

关 键 词：脑血管造影术 肺栓塞 脑血管障碍 脑缺血 

分 类 号：R563.5[医药卫生—呼吸系统]