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目的分析急性缺血性脑血管病全脑血管造影围手术期常见并发症及其病因以及造影的安全性。方法选择我院神经内科83例经数字减影全脑血管造影(digital subtraction cerebral angiography,DSCA)检查的急性缺血性脑血管病患者,统计分析并发症发生的数量、种类、可能的原因和采取的处理措施,评估并发症的预后。结果(1)所有病例均未发生严重并发症,也均未遗留后遗症。(2)所发生的非严重并发症总数为19例,包括,①与穿刺相关的:穿刺点出血2例、局部皮下淤血18例、小血肿形成3例;②系统并发症:睡眠障碍13例、尿潴溜12例、癫痫发作3例;③器材与操作相关并发症:导管内血栓形成1例、血管痉挛3例;④造影剂相关并发症:轻度过敏样反应3例、胃肠道反应4例;⑤神经系统相关并发症:一过性神经功能缺损或原有神经功能缺损一过性加重6例。结论急性缺血性脑血管病DSCA检查是安全的,常见的并发症均为非严重型。
Objective To analyze the common perioperative complications and etiology and the safety of angiography in patients with acute ischemic cerebrovascular disease. Methods A total of 83 patients with acute ischemic cerebrovascular disease undergoing digital subtraction cerebral angiography (DSCA) were enrolled in our department. The number, types, possible causes and measures of complications were statistically analyzed. The treatment measures to assess the prognosis of complications. Results (1) No serious complications occurred in all cases and no sequelae were left. (2) The total number of non-serious complications occurred in 19 cases, including, ① puncture-related: puncture point bleeding in 2 cases, local subcutaneous congestion in 18 cases, 3 cases of small hematoma formation; ② system complications: sleep disorders in 13 cases , 12 cases of urinary retention, 3 cases of epileptic seizures; ③ equipment and operation-related complications: intraductal thrombosis in 1 case, vasospasm in 3 cases; ④ contrast-related complications: mild allergic reaction in 3 cases, gastrointestinal Reaction in 4 cases; ⑤ nervous system-related complications: a transient neurological deficit or original neurological deficit a transient increase in 6 cases. Conclusion The DSCA examination of acute ischemic cerebrovascular disease is safe and the common complication is non-serious.