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目的研究提高脑血管造影安全性的方法。方法回顾性分析天津市环湖医院脑血管造影手术后并发症发生的几率,总结相应预防以及处理方法。结果全脑血管造影共832例,术后有17例出现并发症,发生率为2.04%。其中股动脉穿刺处皮下血肿9例,造影剂过敏反应4例,造影过程中血管痉挛3例,一过性皮质盲1例。脑血管造影术后护理工作认真及时,经过积极有效处理后,全脑血管造影术后均未见明显后遗症。结论全脑血管造影检查是一种相对安全的有创检查,在严格规范的操作下,术后及时发现并积极处理,并发症的发生率将更低。
Objective To study ways to improve the safety of cerebral angiography. Methods The incidence of complications after cerebral angiography in Tianjin Huanhu Hospital was retrospectively analyzed. The corresponding prevention and treatment methods were summarized. Results Total cerebral angiography in 832 cases, postoperative complications occurred in 17 cases, the incidence was 2.04%. Including femoral artery puncture at the subcutaneous hematoma in 9 cases, 4 cases of contrast agent allergy, angiography during angiospasm in 3 cases, transient cortical blind in 1 case. Careful and timely care after cerebral angiography, after a positive and effective treatment, no significant after-effects after cerebral angiography sequelae. Conclusion Cerebral angiography is a relatively safe and invasive examination. Under strict and standard operation, timely and prompt treatment after operation, the incidence of complications will be lower.