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脑血管造影1112例并发症分析
引用本文:王国芳,朱青峰,周志国.脑血管造影1112例并发症分析[J].解放军医学高等专科学校学报,2011(1):70-72.
作者姓名:王国芳  朱青峰  周志国
作者单位:解放军第264医院神经外科,山西太原030001
摘    要:目的探讨脑血管造影的并发症及其防治措施。方法将2006年6月—2009年12月在我科住院行全脑血管造影的1112例脑血管造影患者临床资料进行回顾性分析,重点分析其并发症,及其防治的临床措施。结果 1112例脑血管造影患者中,因加压包扎导致局部张力性水疱57例,穿刺部位血肿32例,导丝嵌顿28例,鞘管进入血管周围间隙21例,动脉夹层7例,脑栓塞2例,一过性认知功能障碍2例,皮质盲1例。结论脑血管造影是神经介入诊疗的一个重要手段,只要仔细操作,术后严密观察,仔细护理,一般不会发生严重并发症。

关 键 词:脑血管造影  并发症  防治措施

Analysis on 1112 cases of complications of cerebral angiography and its preventive measures
Wang Guo-fang,Zhu Qing-feng,Zhou Zhi-guo.Analysis on 1112 cases of complications of cerebral angiography and its preventive measures[J].Clinical Journal of Medical Officer,2011(1):70-72.
Authors:Wang Guo-fang  Zhu Qing-feng  Zhou Zhi-guo
Institution:(Department of Neurosurgery,PLA No.264 Hospital,Taiyuan Shanxi 030001,China)
Abstract:Objective To study the complications of cerebral angiography and control measures to improve the clinical effects of the endovascular treatment.Methods From June 2006 to December 2009,1 112 cases of cerebral angiography were retrospectively analyzed;the complications and its prevention and treatment were studied.Results Among 1 112 cases of cerebral angiography,there were 57 cases with a local tension because of pressure bandage blisters,32 cases with an hematoma in the puncture site,28 cases with incarcerated of guide wire,sheath into the perivascular space in 21 cases,7 cases of arterial dissection,cerebral embolism 2 cases,1 case of cortical blindness,no patients with pseudoaneurysm and arteriovenous fistulas.Conclusion Cerebral angiography is an important means of diagnosis and treatment in nerve system,as long as careful operation,close observation,careful nursing,serious complications will not occur,and can minimize the general complications,as providing a powerful guarantee neural intervention.
Keywords:cerebral angiography  complications  control measures
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