心导管术的外周血管并发症Peripheral vascular complications of cardiac catheterization
王斌,郭继鸿,靳维华,李镝,许原
摘要(Abstract):
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 1745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 10 2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 2 3% ) ,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 0 6 % ,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。
关键词(KeyWords): 心导管术;并发症;动静脉瘘;血栓形成;肺动脉栓塞
基金项目(Foundation):
作者(Author): 王斌,郭继鸿,靳维华,李镝,许原
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