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冠状动脉内支架植入术并发症的观察与分析 被引量:7

Clinical observation and study on complicationsof post-stent implantation in patients with coronary artery disease
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摘要 目的探讨冠状动脉内支架植入术并发症的防治对策。方法观察和评估98例冠状动脉内支架植入术患者的并发症。结果全部患者并发症发生率为14.28%,分别为局部出血及血肿、低血压、冠状动脉痉挛、急性左心衰竭、血尿。结论术前加强心理护理和健康教育;术中严密监测生命体征;术后严密观察伤口及足背动脉搏动情况,合理应用抗凝药物,及时补充血容量,指导患者合理制动和保持情绪稳定,可以有效减少CS植入术后并发症的发生。 To study prophylactic and therapeutic measures against the complications of post-stent implantation in patients with coronary artery disease. Ninety-eight consecutive patients with coronary artery disease after stent implantation were enrolled into the study. Then we observed their complications. The postoperative complications incidence of the patients included was 14.28%. These complications were hematoma, hypotension, coronary artery spasm, acute heart failure, hematuria. [Conclusions] Psyche nursing and health education should be enhanced before stent implantation. Vital sign should be closed observed in the duration. The observations of wound and dorsal artery of foot should be more careful. Some measures, such as reasonable application of anticoagulant, timely complimenting blood capacity,teaching patients how to prevent pelvic limb from moving and how to keep peace temper, may effectively reduce incidence.
作者 韩辉武
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2005年第6期933-935,共3页 China Journal of Modern Medicine
关键词 冠状动脉 支架植入 并发症 coronary artery stent implantation complication
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