肾动脉狭窄支架植入术后并发症的观察及护理

Complications of Percutaneous Transluminal Renal Angioplasty and Stenting:Nursing and Observation

目的总结肾动脉狭窄支架植入术后并发症的观察及护理。方法回顾性分析2000年4月至2006年4月45例高血压患者行肾动脉成形术及支架植入术后急性并发症及远期并发症的发生情况。结果45例共植入支架61枚,术后出现的急性并发症有迷走神经反射性亢进3例、肾动脉夹层2例、腹膜后血肿3例、穿刺部位血肿3例、肾动脉穿孔1例,远期并发症为再狭窄4例。结论严密监测生命体征变化是提高肾动脉狭窄患者支架植术后护理质量及发现并发症的关键。

Objective To observe the complications and summarize our experience on nursing of pa- tients receiving percutaneous transluminal renal angioplasty （PTRA） and stenting. Methods The complications of 45 hypertension patients who were treated by PTRA from April 2000 to April 2006 were retrospectively analyzed. Results Forty-five patients were treated with percutaneous transluminal renal angioplasty and 61 stenting were performed. The acute complications of PTRA including accentuated vagus reflex （3 cases） ,renal artery dissection （2 cases）, retroperitoneal he- matoma（3 cases）, hematoma at puncture sites （3 cases）, peroration o[ renal artery （2 case） ; the long-term complication was restenosis in 4 patients. Conclusion Careful surveillance of vital signs is a key for improving nursing quality and discovery of complication.