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目的 :通过对一般血管介入术并发症原因的探讨 ,提高预防及处理水平。材料与方法 :1993年 8月至 1999年 6月作者实施各类血管性介入术 183人次。结果 :并发症发生的原因可分为术者因素、患者因素、器械因素、导管因素、药物因素、手术方法及其它因素等。本文由上述因素所致并发症共 45例。其中 11例为较严重并发症 ,包括局部大血肿 2例 ,血管内膜损伤 4例 ,血栓形成、动脉痉挛、胃溃疡出血、食道气管瘘及麻痹性肠梗阻各 1例。结论 :血管介入术可引起多种并发症 ,根据其发生原因的不同 ,需采用不同的方法进行预防和处理
Objective: To explore the causes of complications of general vascular intervention to improve the level of prevention and treatment. MATERIALS AND METHODS: A total of 183 vascular interventions were performed by the authors from August 1993 to June 1999. Results: The causes of complications can be divided into surgery, patient, equipment, catheter, drug, surgery and other factors. This article caused by the above complications in 45 cases. Among them, 11 cases were more serious complications, including 2 cases of local large hematoma, 4 cases of intimal injury, 1 case of thrombosis, arterial spasm, gastric ulcer, esophageal tracheal fistula and paralytic ileus. Conclusion: Vascular intervention can cause a variety of complications, according to their causes, different methods need to be used for prevention and treatment