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桡动脉径路介入诊疗并发症产生的原因及对策 被引量:4

The cause and strategy for complication of transradial approach
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摘要 目的分析桡动脉径路介入并发症产生的原因及对策。方法收集1 580例经桡动脉径路进行血管介入诊疗的病例,对其并发症产生的原因进行分析。结果并发症发生率为5.6%,其中动脉痉挛2.4%;假性动脉瘤1.4%;出血或上肢肿胀0.9%;术侧手掌肿胀0.6%;桡动脉闭塞0.3%,无严重出血、动静脉瘘及皮肤破溃感染等发生。结论经桡动脉冠状动脉造影操作的并发症少,且均为非致命性;掌握局部血管解剖,熟悉操作技巧,严格操作规程,加强术后观察,可减少并发症的发生。 Objective To study the cause and strategy for comparison of transradial approach.Methods Totally 1 580 cases were analyzed respectively,including the complication and its cause.Results The rate of complication was 5.6%,in detail,the arteriospasm was 2.4%,pseudoaneurysm was 1.4%,bleeding or swollen of upper limb was 0.6%,radial occlusion was 0.3%.There were no serious bleeding,arteriovenous fistula and incison infection.Conclusion The complication of coronary arteriongraphy transradial approach was much little and nonfatal.The complication can be reduced by being familiar with the anatomy,surgical skill and operative rules.
出处 《局解手术学杂志》 2010年第2期89-91,共3页 Journal of Regional Anatomy and Operative Surgery
关键词 桡动脉径路 血管介入 并发症 transradial approach vascular intervention complication
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