| 心导管术的外周血管并发症 |
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| 引用本文： | 王斌,郭继鸿,靳维华,李镝,许原.心导管术的外周血管并发症[J].中国介入心脏病学杂志,2002,10(3):145-147. |
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| 作者姓名： | 王斌 郭继鸿 靳维华 李镝 许原 |
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| 作者单位： | 1. 100044,北京大学人民医院
2. 北京航天中心医院 |
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| 摘 要： | 目的探讨心导管术后外周血管并发症的发生率、原因和处理方法.方法对1 745例次经股动脉/股静脉的心导管术患者的外周血管并发症及临床资料进行分析.结果102例(5.9%)患者发生外周血管并发症,其中穿刺部位单纯血肿77例(4.4%),假性动脉瘤4例(0.23%),动静脉瘘2例(0.11%),下肢动脉血栓形成2例(0.11%),下肢静脉血栓形成3例(0.17%),肺动脉栓塞2例(0.11%),穿刺部位外出血13例(0.74%),死亡率0.06%,需要外科处理的占0.11%.结论心导管术后外周血管并发症并不少见,大多数经内科处理预后良好.
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| 关 键 词： | 心导管术 并发症 动静脉瘘 血栓形成 肺动脉栓塞 |
| 修稿时间： | 2002年4月8日 |
Peripheral vascular complications of cardiac catheterization |
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| Abstract: | Objective To explore the incidence, causes and management of peripheral vascular complications after cardiac catheterization Methods Cardiac catheter data and clinical data of 1?745 patients were reviewed Results One hundred and two patients (5 9%) had peripheral vascular complications, including local hematoma (77, 4 4%), pseudoaneurysm (4, 0 23%), arteriovenous fistula(2, 0 11%), femoral arterial thrombosis(2, 0 11%), femoral venous thrombosis (3, 0 17%), pulmonary thromboembolism (2, 0 11%), external hemorrhage(13, 0 74%) The mortality was 0 06% (1/1745), and the surgery repair rates 0 11% ( 2/1?745 ) Conclusion Peripheral vascular complications of cardiac catheterization is not so rare, and has a good prognosis after conservative management |
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| Keywords: | Cardiac catheterization Complication Arteriovenous fistula Thrombosis Pulmonary thromboembolism |
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