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目的:观察经桡动脉行冠状介入治疗的外周血管并发症预防和发生情况。方法:对2009-10～2010-5在我院治疗的67例进行桡动脉冠状动脉介入治疗的患者进行外周血管并发症预防治疗。记录并发症发生情况。结果:并发症发生总数15例,其中出血、血肿6例(占40%),血管痉挛,疼痛5例(占33.3%),手部缺血3例(占20%),低血压2例(占13.33%),无桡动脉,心律失常,急性冠脉闭塞发生。显示外周血管并发症中出血,血肿最常见,其次是血管痉挛和疼痛。结论:经桡动脉行冠状介入治疗外周血管并发症可以有效预防。
Objective: To observe the prevention and the occurrence of peripheral vascular complications treated with coronary intervention via radial artery. Methods: Prevention and treatment of peripheral vascular complications were performed in 67 patients who underwent radial artery coronary intervention in our hospital from 2009-10 to 2010-5. Record the incidence of complications. Results: The total number of complications was 15 cases, including hemorrhage, hematoma in 6 cases (40%), vasospasm, pain in 5 cases (33.3%), hand ischemia in 3 cases (20%) and hypotension in 2 cases Accounting for 13.33%), no radial artery, arrhythmia, acute coronary occlusion. Hemorrhages were seen in peripheral vascular complications, with hematoma being the most common, followed by vasospasm and pain. Conclusion: Percutaneous transluminal coronary intervention in the treatment of peripheral vascular complications can be effectively prevented.