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儿童血管造影并发症的治疗及后遗症

Treatment and sequelae of angiographic complications in children.

作者信息

Rubenson A, Jacobsson B, Sorensen S E

出版信息

J Pediatr Surg. 1979 Apr;14(2):154-7. doi: 10.1016/0022-3468(79)90008-3.

Abstract

Fourteen cases of thromboembolic complications appeared in 267 consecutive angiographies during a 7-yr period. The arterial circulation has been evaluated both clinically and with oscillometry. The complication rate was substantially higher after cut down then after percutaneous approach (56% vs. 2.7%). Seven patients with signs of total vascular obstruction were subjected to acute thromboectomy whereas three patients with milder clinical symptoms were treated nonoperatively with anticoagulants. Four patients have died during the examination period, the remaining ten patients have been subjected to long term follow-up (mean follow-up period 3 yr). Seven demonstrated normal findings clinically, as well as oscillographically, whereas three patients subjected ot thromboectomy after cut down were clinically normal but decreased oscillographic pulsations could be demonstrated.

摘要

在7年期间的267例连续血管造影中出现了14例血栓栓塞并发症。已通过临床和示波测量法对动脉循环进行了评估。切开法后的并发症发生率显著高于经皮法(56%对2.7%)。7例有完全血管阻塞迹象的患者接受了急性血栓切除术,而3例临床症状较轻的患者接受了抗凝非手术治疗。在检查期间有4例患者死亡,其余10例患者接受了长期随访(平均随访期3年)。7例在临床和示波检查中显示正常结果,而3例切开法后接受血栓切除术的患者临床正常,但示波搏动减弱。

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