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目的探析冠状动脉介入诊疗并发症的原因、临床症状及防治措施。方法 145例冠状动脉介入诊疗患者,对所有患者的并发症类型、路径及分布情况进行分析。结果治疗后,31例患者发生并发症,其中血肿11例(35.48%),迷走反射7例(22.58%)、动静脉瘘1例(3.23%),穿刺部位表皮皮肤破溃感染3例(9.68%),冠状动脉穿孔4例(12.90%),桡动脉痉挛3例(9.68%),腘动脉血栓2例(6.45%)。结论术前预防、术中监测是降低冠状动脉介入诊疗并发症发生率的有效途径,及时发现、及时给予有效处理是提升患者生存质量的关键。
Objective To investigate the causes, clinical symptoms and prevention and treatment of complications of coronary intervention. Methods A total of 145 patients undergoing coronary intervention were enrolled in this study. The types, pathways and distribution of complications in all patients were analyzed. Results After the treatment, complications occurred in 31 patients, including hematoma in 11 cases (35.48%), vagal reflex in 7 cases (22.58%), arteriovenous fistula in 1 case (3.23%), puncture site epidermis and skin ulceration in 3 cases %), Coronary artery perforation in 4 cases (12.90%), radial artery spasm in 3 cases (9.68%) and popliteal artery thrombosis in 2 cases (6.45%). Conclusions Preoperative prophylaxis and intraoperative monitoring are effective ways to reduce the incidence of complications of coronary intervention. In time, effective treatment is the key to improve the quality of life of patients.