冠心病介入治疗并发症的分析与防治

Analysis,Precaution and Treatment of PCI Complication

目的:探讨冠心病介入治疗(PCI)并发症的发生原因、临床表现和防治措施。方法:对612例行PCI的患者中49例出现并发症的病例作回顾性分析。结果:血肿20例,室颤6例,死亡1例,无再流4例,冠状动脉穿孔致心包填塞1例,心源性休克2例,迷走反射8例,支架内亚急性血栓2例,室速1例,房颤3例,过敏4例,腘动脉血栓形成1例,动静脉漏1例。结论:减少PCI并发症需重视术前预防,术中规范操作,术后严密监测,只要及时发现,正确处理,大多数并发症预后良好。

Objective：To explore the cause,clinical manifestation and management of the complications after PCI.Methods：From July 2006 to July 2009,612 patients underwent PCI in our hospital.PCI complication occurred in 49 of them.Clinical data of patients with PCI complications were retrospectively reviewed.Results：The complications were found including 20 cases of local hematoma,6 cases of ventricular fibrillation,1 case of death,4 cases of no-reflow phenomenon,1 case of pericardial tamponade,2 cases of cardiogenic shock,8 cases of Bezold-Jarisch reflex,2 cases of sub-acute thrombosis,1 case of ventricular tachycardia,3 cases of atrial fibrillation,4 cases of allergy,1 case of arteria-poplitea thrombosis,and 1 case of arteriovenous fistula.Conclusion：Great importance should attached to precaution before operation.While the operation is on,it must be done properly and after it patients should be watched with great care.Most complications have favourable prognosis if they are discovered promptly and treated actively.