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目的分析介入诊疗过程中发生严重并发症的原因,探讨减少严重并发症发生的方法。方法通过对2000例介入诊疗病例的回顾性的调查统计,筛选出发生严重并发症病例,加以分析研究。结果2000例介入诊疗病例,共发生严重并发症23例,占1.15%。其中,截瘫1例,下肢动脉栓塞2例,严重的中枢神经系统并发症3例,急性心包填塞1例,急性肺水肿3例,消化道大出血2例,急性喉炎2例,肠梗阻3例,胆汁漏1例,严重顽固性感染2例,严重骨髓抑制1例,心脏停止跳动2例。结论介入诊疗严重并发症的发生原因是多方面的,病人个体差异很大,术前认真分析病人的具体情况,术中规范操作,术后严密观察病情变化及时处理,可以把并发症的发生和危害减少到最小程度。
Objective To analyze the causes of serious complications during the interventional treatment and to explore ways to reduce the incidence of serious complications. Methods By retrospective survey of 2000 cases of interventional diagnosis and treatment, screening out the cases of serious complications, to be analyzed. Results Of the 2000 cases involved in the diagnosis and treatment, 23 cases were serious complications, accounting for 1.15%. Among them, 1 cases of paraplegia, lower extremity arterial embolism in 2 cases, severe central nervous system complications in 3 cases, acute cardiac tamponade in 1 case, acute pulmonary edema in 3 cases, gastrointestinal bleeding in 2 cases, acute laryngitis in 2 cases, intestinal obstruction in 3 cases , 1 case of bile leakage, 2 cases of severe intractable infection, 1 case of severe myelosuppression and 2 cases of cardiac arrest. Conclusion Interventional diagnosis and treatment of serious complications are many reasons for the large individual patients, preoperative careful analysis of the specific circumstances of patients, intraoperative standard operation, postoperative close observation of changes in condition and timely treatment, you can put complications and Hazard reduced to a minimum.