| 王刚刘厂辉△ 唐振旺宁国庆曹燕万娟.经肱动脉途径冠状动脉介入治疗并发症的预防及处理[J].,2012,12(27):5288-5290 |
| 经肱动脉途径冠状动脉介入治疗并发症的预防及处理 |
| Treatment and Prevention about the Complications of Percutaneous CoronaryIntervention Therapy by the Brachial Artery |
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| DOI： |
| 中文关键词: 冠状动脉介入治疗 经肱动脉 并发症 |
| 英文关键词: Percutaneous coronary intervention therapy By the brachial artery Complications |
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| 中文摘要: |
| 目的: 评价130 例次经肱动脉途径冠状动脉介入治疗（PCI 术）局部并发症情况。方法：连续入选2009 年3 月至2011 年12
月我院经肱动脉途径冠状动脉PCI 术的病例130 例次。分析经肱动脉介入治疗操作并发症情况。结果：共24 例患者发生了局部
并发症，并发症发生率为18.5%。其中穿刺局部发生血肿22 例(16.9%)，其中1 例合并骨筋膜室综合征及正中神经损伤(0.8%) ，局
部神经损伤1 例(0.8%)，假性动脉瘤1 例(0.8%)。经处理后血肿全部吸收，最后仍有1 例正中神经损伤和1 例假性动脉瘤未能完全
康复。结论：经肱动脉途径冠状动脉PCI 术并发症发生率较高，熟悉肱动脉穿刺方法、掌握标准的压迫止血包扎方案、术后肢体夹
板制动、并对其并发症有足够的认识和处理对策的充分准备可以减少并发症及其不良后果的发生。 |
| 英文摘要: |
| Objective: To evaluate the local complications of percutaneous coronary intervention (PCI) therapy by the brachial
artery. Methods: 130 cases were consecutively selected from March 2009 to December 2011 cases of brachial artery approach for PCI.
The complications of brachial artery interventional treatment were analyzed. Result: A total of 24 cases of patients with local
complications, the incidence rate was 18.5%. There were 22 cases of local hematoma in puncture side (16.9%), including 1 case with
psteofascial compartment syndrome and median nerve injury(0.8%), 1 case with partial nerve injury(0.8%) and pseudoaneurysm in 1 case
(0.8%). After treatment, the hematomas were all absorbed, but a median nerve injury and pseudoaneurysm had not been completely
recovered. Conclusion: The complication of PCI by the brachial artery had higher incident, and it can reduce the occurrence of
complications and adverse consequences that being familiar with the brachial artery puncture method, mastering standard pressurized
dressing program, limb splint after operation, having sufficient knowledge of the complications and fully prepared countermeasures. |
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