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目的探讨介入治疗脑动脉瘤并发症的预防和治疗措施。方法选择2005年12月—2011年6月间十堰市人民医院诊治的脑动脉瘤患者200例,所有患者均经影像学检查确诊。采用经股动脉穿刺插管脑动脉瘤栓塞术,观察患者介入治疗并发症发生情况、防治措施及预后。结果 200例接受脑动脉瘤介入治疗患者的并发症发生率为9%(18/200),其中肺部感染所占比例最高,为33.3%(6/18),然后依次为脑血管痉挛(27.8%),应激性胃溃疡(22.2%),穿刺点局部血肿(11.1%),动脉瘤破裂比例最低,为5.6%。经积极处理后均治愈或好转。结论肺部感染、脑血管痉挛、应激性胃溃疡、穿刺点局部血肿及动脉瘤破裂是颅脑动脉瘤介入治疗的常见并发症,应该采取积极的预防和治疗措施。
Objective To investigate the preventive and therapeutic measures for the interventional treatment of complications of cerebral aneurysm. Methods 200 patients with cerebral aneurysm diagnosed and treated in Shiyan People’s Hospital from December 2005 to June 2011 were selected. All patients were confirmed by imaging examination. The femoral artery puncture and intubation cerebral aneurysm embolization was used to observe the incidence of complications in patients with interventional therapy, prevention and treatment measures and prognosis. Results The incidence of complications in 200 patients who underwent interventional therapy of cerebral aneurysm was 9% (18/200), of which the highest proportion was pulmonary infection (33.3%, 6/18), followed by cerebral vasospasm (27.8 %), Stress ulcer (22.2%), local hematoma at puncture site (11.1%), and the lowest aneurysm rupture rate was 5.6%. After the active treatment were cured or improved. Conclusions Pulmonary infection, cerebral vasospasm, stress ulcer, local hematoma at rupture point and ruptured aneurysm are common complications in interventional treatment of cranial aneurysm. Therefore, active prevention and treatment measures should be taken.