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目的探讨外周血管介入并发症的预防及处理。方法分析17例患者的临床资料。结果股动脉出血1例发生于术后1h;局部血肿8例,术中发现3例,术后发生5例。假性动脉瘤6例,其中3例发现于术后24h内,另3例发现于术后2～3d;动-静脉瘘2例,1例发现于术后12h,经再次压迫、加压包扎10h后闭合;另1例发现时已超过48h,压迫无效,未予特殊处理,嘱患肢限制过度活动,60d后随访观察均自行闭合。结论在冠脉造影及介入治疗过程中,外周血管并发症只要及时发现、处理得当,预后良好。
Objective To investigate the prevention and treatment of peripheral vascular complications. Methods The clinical data of 17 patients were analyzed. Results One case of femoral artery hemorrhage occurred at 1 hour after operation. There were 8 cases of local hematoma, 3 cases were found during operation and 5 cases occurred after operation. 6 cases of pseudoaneurysm, of which 3 cases were found within 24 hours after operation, the other 3 cases were found in 2 ~ 3d after surgery; 2 cases of arteriovenous fistula, 1 case was found after 12h, again by compression, pressure dressing 10h after closure; the other 1 case was found to have been more than 48h, oppression invalid, no special treatment, Zhuang Li limbs over-limit activities, follow-up observation after 60d were closed. Conclusion In the course of coronary angiography and interventional treatment, peripheral vascular complications should be promptly found, properly treated and have a good prognosis.