| 脑血管支架置入后的并发症及其预防 |
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| 引用本文： | 官昌伦,石国霰,李琴,罗永梅,曾尤超.脑血管支架置入后的并发症及其预防[J].中国组织工程研究与临床康复,2010,14(9). |
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| 作者姓名： | 官昌伦 石国霰 李琴 罗永梅 曾尤超 |
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| 作者单位： | 遵义医学院第三附属医院神经内科一病区,贵州省遵义市,563002 |
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| 摘 要： | 背景:分析脑血管支架置入后并发症的原因,发生机制及其预防方式.方法:应用计算机检索Medline database(1989/2009)和中国期刊全文数据库(CNKI:1989/2009),由第一作者按纳入和排除标准,对文献进行筛选,资料收集和质量评价.从脑血管支架置入的治疗进展,脑血管支架的种类及生物相容性,支架置入后并发症的发生及预防3方面进行描述和整理,并对并发症的发生进行临床验证.结果:脑血管支架置入后的并发症主要有颈动脉窦反应、高灌注综合征、脑血管痉挛、穿刺部位出血、支架处血栓形成、其他部位再狭窄及脑缺血等.支架置入后并发症的发生虽然很难完全杜绝,但应尽量避免,要做到正解选择支架置入病例,提高操作者的熟练程度和纠正不良操作习惯,提高术者对并发症的认识和重视程度,严格围手术期的管理,对出现的并发症要及时正确处理避免产生严重后果.在各种脑血管支架中,金属支架生物相容性较差,聚合物支架、涂层支架和药物支架生物相容性均好于金属支架,能有效的预防支架置入后的再狭窄.结论:脑血管支架置入治疗可作为脑血管病的主要治疗方法之一;脑血管支架中的药物支架,聚合物支架的生物相容性较好;在治疗过程中只要进行充足的置入前准备,正确的操作与围绕手术期管理,则脑血管支架置入后的并发症是可防可治疗的.
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| 关 键 词： | 脑血管病 支架 治疗 并发症 生物相容性 康复治疗 |
Prevention of complications following cerebrovascular stent implantation |
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| Guan Chang-lun,Shi Guo-xian,Li Qin,Luo Yong-mei,Zeng You-chao.Prevention of complications following cerebrovascular stent implantation[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2010,14(9). |
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| Authors: | Guan Chang-lun Shi Guo-xian Li Qin Luo Yong-mei Zeng You-chao |
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| Institution: | Guan Chang-lun,Shi Guo-xian,Li Qin,Luo Yong-mei,Zeng You-chao First Ward,Department of Neurology,Third Affiliated Hospital of Zunyi Medical College,Zunyi 563002,Guizhou Province,China |
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| Abstract: | OBJECTIVE:To explore the reasons,occurrence mechanisms,as well as prevention methods for complications following cerebrovascular stent implantation.METHODS:A computer-based online search was performed by the first author.The databases of Medline and CNKI were searched with year's limitation of 1989-2009.According to the inclusive and exclusive criteria,the documents were screened,collected and evaluated from the following aspects:treating progress of cerebrovascular stent implantation;category and biocompat... |
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| 本文献已被 CNKI 万方数据 等数据库收录！ |
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