本文選題：急性缺血性卒中 + 支架取栓術(shù)��； 參考：《介入放射學(xué)雜志》2017年05期

【摘要】：目的探討急性缺血性卒中(AIS)患者接受Solitaire AB支架取栓術(shù)后顱內(nèi)出血并發(fā)癥的影響因素。方法收集2015年6月至2016年10月采用Solitaire AB支架取栓術(shù)治療的32例AIS患者臨床資料。分析取栓術(shù)后發(fā)生顱內(nèi)出血性轉(zhuǎn)化(HT)并發(fā)癥患者基本資料,并與國內(nèi)外相關(guān)研究進(jìn)行對比分析。結(jié)果 32例AIS患者取栓手術(shù)均成功,術(shù)后病死率為9.4%(3/32)。3例術(shù)后發(fā)生癥狀性顱內(nèi)HT,其中1例為前循環(huán)動脈閉塞,2例為后循環(huán)動脈閉塞,HT發(fā)生率為9.4%(3/32)。2例保守治療,1例行經(jīng)腦室鉆孔外引流并植入儲液囊,最終2例因HT死亡,1例經(jīng)保守治療恢復(fù)良好。HT死亡患者占所有死亡患者比例為2/3。結(jié)論顱內(nèi)HT是AIS取栓手術(shù)致命性并發(fā)癥。臨床實(shí)踐中應(yīng)嚴(yán)格把握取栓手術(shù)適應(yīng)證,術(shù)中精細(xì)操作,規(guī)范圍術(shù)期管理,以降低出血并發(fā)癥發(fā)生率。
[Abstract]:Objective to investigate the factors influencing the complications of intracranial hemorrhage after Solitaire AB stent removal in patients with acute ischemic stroke.Methods from June 2015 to October 2016, 32 patients with AIS underwent Solitaire AB stenting.To analyze the basic data of postoperative complications of intracranial hemorrhagic transformation (HTT) after thrombectomy, and to compare the data with related studies at home and abroad.Results all the 32 patients with AIS underwent thrombectomy successfully.Postoperative mortality was 9.4 / 32.3 cases with symptomatic intracranial HT.Among them, 1 case was anterior circulatory artery occlusion and 2 cases were posterior circulatory artery occlusion. The incidence of HT was 9.4% 32 / 32. 2 cases were treated conservatively. 1 case underwent transventricular borehole drainage and implanted liquid sac.Finally, 2 cases died of HT and 1 case recovered well after conservative treatment. The proportion of all patients died of HT was 2 / 3 / 3.Conclusion Intracranial HT is a fatal complication of AIS thrombectomy.In clinical practice, we should strictly grasp the indication of thrombectomy, fine operation during the operation, and management of the period of operation, so as to reduce the incidence of bleeding complications.
【作者單位】： 鄭州大學(xué)第五附屬醫(yī)院介入科;河南省人民醫(yī)院介入科;
【分類號】：R651.1

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1 曲東鋒;手術(shù)減壓治療急性缺血性卒中腦水腫[J];國外醫(yī)學(xué)(腦血管疾病分冊);2003年01期

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本文編號：1735186