介入治疗脑动脉瘤并发症的预防和治疗措施探讨  

Exploration of preventive and therapeutic measures of interventional therapy for complications of cerebral aneurysm

作　　者：赵鹏[1] 郭英昌[1] 

机构地区：[1]新乡医学院第一附属医院介入科,卫辉453100

出　　处：《中国实用神经疾病杂志》2016年第5期16-18,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨脑动脉瘤患者介入治疗的过程中如何预防及治疗并发症。方法收集脑动脉瘤患者100例,所有患者均需要经过影像学的相关检查,同时需要对所有患者进行经股动脉穿刺插管脑动脉瘤栓塞术,观察患者在实际治疗过程中出现的各种并发症,对于所有的并发症进行相关治疗,对患者的预后情况进行记录和分析。结果 10例患者出现并发症,发生率10%。肺部感染患者4例(40%),脑血管痉挛3例(30%),应激性胃溃疡2例(20%),穿刺点出现局部血肿1例,占10%。经积极处理均有所好转或治愈。结论脑动脉瘤患者介入治疗过程中,会出现肺部感染、脑血管痉挛、应激性胃溃疡及穿刺点出现血肿等并发症,对患者进行有针对性的处理,保证较好的治疗效果。Objective To investigate interventional therapy how to prevent and treat complications ot cerebral aneu- rysms. Methods We selected 100 cases of cerebral aneurysms detected by related imaging examinations in our hospital given embolization operation via puncture and intubation of femoral artery. Related complications observed and recorded were treatedand analyzed. Results Of total 10 patients concomitant with complications with the rate of 10%, 4 cases had pulmonary infec- tion accounting for 40%, 3 patients had cerebral vasospasm with the rate of 30% irritable ulcer occurred in 2 cases accounted for 20%, 1 case presented local hematoma of puncture point accounting for 10%. All of the patients with complications were cured after targeted treatment. Conclusion There will be lung infection, cerebral vasospasm, stress ulcer, local hematoma in puncture point and other complications in the process of interventional treatment, thus targeted disposals should be necessary to ensure that patients can get better treatment.

关 键 词：介入治疗 脑动脉瘤 并发症 预防措施 

分 类 号：R739.4[医药卫生—肿瘤]