| 主髂动脉闭塞施行血管重建术后并发症的处理 |
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| 引用本文： | 何菊,李俊海,张秀军,黄梅,张晶. 主髂动脉闭塞施行血管重建术后并发症的处理[J]. 天津医科大学学报, 2006, 12(2): 271-272,281 |
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| 作者姓名： | 何菊 李俊海 张秀军 黄梅 张晶 |
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| 作者单位： | 天津市天和医院血管外科,天津,300050 |
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| 摘 要： | 目的:总结主髂动脉闭塞实施血管重建术后主要并发症及处理。方法:对27例主髂动脉闭塞手术并发症进行回顾性分析。结果:血流重建手术技术成功率100%。围手术期主要并发症有术后恶性高血压,良性高血压突发加重,突发低血压性休克,急性肾功能不全。迟发并发症有急性胃扩张,肠梗阻等。结论:主髂动脉闭塞症的血管重建因其血流动力学的再分布变化急剧,致使该手术存在风险。重视各种主要并发症的发生,严密观察监护指标并准确判断病因,从而积极调整、纠正、改善不良因素至关重要。
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| 关 键 词： | 主髂动脉闭塞 血管重建 并发症 |
| 文章编号： | 1006-8147（2006）02-0271-03 |
| 收稿时间： | 2006-04-10 |
| 修稿时间： | 2006-04-10 |
Management of complications of complete main iliac artery stenos is revasculization |
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| HE Ju,LI Jun-hai,ZHANG Xiu-jun,HUANG Mei,ZHANG Jing. Management of complications of complete main iliac artery stenos is revasculization[J]. Journal of Tianjin Medical University, 2006, 12(2): 271-272,281 |
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| Authors: | HE Ju LI Jun-hai ZHANG Xiu-jun HUANG Mei ZHANG Jing |
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| Affiliation: | Department of Vascular Surgery, Xiu-jun, HUANG Mei, ZHANG Jing Tianhe Hospital, Tianjin 300050, China |
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| Abstract: | Objective: To summarize the complications and management of revasculalization of main iliac artery stenosis.Methods: 27 cases with main iliac artery stenosis were analyzed retrospectively.Results: Successful rate of operation were 100%.Perisurgical complications included.Malignant hypertension;exaceloation of benign hypertension;hypotensive shock;acute renal failure;acute gastric dilatation;small bowl obstruction et al.Conclusion: Suddenly happened homodynamic redistribution has caused a serous body response,so the revasculization carries relative high risk. |
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| Keywords: | Main iliac artery stenosis Revasculalization Complications |
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