首都医科大学学报 ›› 2005, Vol. 26 ›› Issue (1): 84-86.

• 论著·临床研究 • 上一篇    下一篇

经皮穿刺冠状动脉介入疗法的非心脏并发症的诊治

郭金成, 华琦, 刘力松, 姚立云, 李康, 张学坤, 万云高, 张立新, 张海滨   

  1. 首都医科大学宣武医院心内科
  • 收稿日期:2003-12-12 修回日期:1900-01-01 出版日期:2005-02-24 发布日期:2005-02-24

Diagnosis and Treatment of Noncardiac Complication Following Angiograph and Angioplasty

Guo Jincheng, Hua Qi, Liu Lisong, Yao Liyun, Li Kang, Zhang Xuekun, Wan Yungao, Zhang Lixin, Zhang Haibin   

  1. Department of Cardiology, Xuanwu Hospital, Capital University of Medical Sciences
  • Received:2003-12-12 Revised:1900-01-01 Online:2005-02-24 Published:2005-02-24

摘要:

为评价经皮冠状动脉介入疗法的非心脏并发症的诊断和治疗效果, 对4435例次经股动脉介入诊疗术后发生的非心脏并发症进行分析。结果:非心脏并发症的总发生率为1.3%(57/4435), 其中穿刺部位严重外出血0.09%(4/4435), 腹膜后血肿0.02%(1/4435), 假性动脉瘤0.9%(40/4435), 肺动脉栓塞0.02%(1/4435), 紫趾综合征0.05%(2/4435), 股动脉夹层0.07%(3/4435), 股动脉穿孔0.02%(1/4435), 造影剂过敏性休克0.05%(2/4435), 脑卒中0.05%(2/4435), 股动脉血栓形成0.02%(1/4435)。仅死亡1例(肺动脉栓塞), 占0.02%(1/4435), 其余病例经处理未留后遗症。提示:经皮冠状动脉介入诊疗的非心脏并发症并非少见, 如能及时发现、做出诊断并采取相应的处理, 一般预后良好。

关键词: 并发症, 经皮冠状动脉介入治疗, 动脉瘤

Abstract:

The ai m was to evaluate the diagnosis and treatment of non-cardiac complications foll owing coronary interventional procedure. Non-cardiac complications of 4 435 pat ie nts underwent cardiac intervention were analysed. It find that the total noncard iac complications rate was 1.3%, including severe external hemo rrhage 0.09%, retroperitoneal hematoma 0.02%, femoral pseudoaneurysm 0.9%, pulmo nary thromboembolism 0.02%, blue toe syndrome 0.05%, femoral dissection 0.07 %, femoral penetration 0.02 %, severe contrast allergic shock 0.05%, stroke 0.05%, femoral thrombus 0.02 %. D eath occurred in 1 patients due to pulmonary thromboembolism after one day of an giograpm, and no sequela occurred in other patients. It suggests that Non-cardi ac c omplications following coronary interventional procedure through femoral artery are common and have good results after immediate diagnosis and treatment.

Key words: complication, percutaneous coronary, aneurysm

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