血管性介入术中的严重并发症及处理

Severe Complications at Intravascular Interventional Procedure and Its Management

目的：探讨血管性介入术中严重并发症的原因、处理及预防。材料与方法：１９９４年１月～１９９７年１０月，我科对１４４５例患者实施了１７１３次血管介入性诊断和治疗。结果：术中出现严重并发症１８例，发生率以病例数计为１．２４％（１８例／１４４５例），以介入次数计为１．０５％（１８例／１７１３次）。其中非离子型造影剂过敏１例，气胸６例，脑血管痉挛与急性脑梗塞４例，肺栓塞３例，穿刺部位大血肿２例，大血管破裂２例。结论：血管性介入诊疗术中可出现一些严重并发症，需引起术者注意，一旦发生。

Objective: To explore the causes, management and prevention of severe complications at intravascular interventional procedure.Materials and Methods:From January, 1994 to October, 1997, 1 713 interventional diagnosis and treatments were performed in 1 445 patients.Results:There were 18 cases of serious complications at intravascular interventional procedure, the incidences of complication was 1.24% (18/1 445), 1.05% (18/1 713) times in interventional. The complication included: allergy of nonionic contrast agents in 1 case, hemopneumothorax in 6 cases, spasm and acute embolism of cerebral vessel in 4 cases, pulmonary embolism in 3 cases, heavy hematoma at puncture position in 2 cases and rupture of great vessel in 2 cases.Conclusion: Severe complications may happened in intravascular interventional procedures which should be pay attention to. If happen, these complications should be managed at once.