[1]朱文燕,陈燕华,古振云,等.颈动脉支架术后并发症——高灌注综合征九例的护理[J].介入放射学杂志,2014,(08):729-731.
　ZHU Wen yan,CHEN Yan hua,GU Zhen yun,et al.The nursing care for patients with hyperperfusion syndrome occurring after carotid artery stenting； initial experience in 9 cases[J].journal interventional radiology,2014,(08):729-731.
点击复制

颈动脉支架术后并发症——高灌注综合征九例的护理 ()

PDF下载中关闭

分享到：

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年08期
页码:
729-731
栏目:
护理论坛
出版日期:
2014-08-25

文章信息/Info

Title:
The nursing care for patients with hyperperfusion syndrome occurring after carotid artery stenting； initial experience in 9 cases
作者:
朱文燕;  陈燕华;  古振云;  马朝晖
Author(s):
ZHU Wen yan;  CHEN Yan hua;  GU Zhen yun;  MA Zhao hui.
Neurointervention Section， Guangdong Provincial Hospital of Traditional Chinese Medicine， Guangzhou， Guangdong Province 510120， China
关键词:
【关键词】 颈动脉狭窄;  颈动脉支架植入术;  高灌注综合征;  护理
文献标志码:
A
摘要:
【摘要】 目的 探讨颈动脉支架植入术后高灌注综合征的临床特点及护理方法。方法 回顾分析220例颈内动脉支架植入后9例出现高灌注综合征的临床资料及其护理过程，治疗方法包括适度控制血压、减轻脑水肿、监护脑血流、镇静、停用及减少抗血小板药物等综合措施，护理上予以密切观察患者血压、临床症状以及配合医师控制血压、动态复查相关检查等。结果 9例患者中，8例完全恢复出院，1例死亡。结论 高灌注综合征的护理要点是密切配合医师控制血压、保证适度的脑血流。

参考文献/References:

［1］ Asai T， Miyachi S， Izumi T， et al. Systematic review of complications for proper informed consent periprocedural complications of carotid artery stenting； a review article［J］. No Shinkei Geka， 2013， 41； 719 729.
［2］ Wu TY， Anderson NE， Barber PA. Neurological complications of carotid revascularisation［J］. J Neurol Neurosurg Psychiatry， 2012， 83； 543 550.
［3］ Gasecki AP， Hachinski VC， Mendel T， et al. Endarterectomy for symptomatic carotid stenosis. Review of the European and North American Symptomatic Carotid Surgery Trials［J］. Neur Med J， 1992， 77； 121 123.
［4］ Pennekamp CW， Moll FL， De Borst GJ. Role of transcranial Doppler in cerebral hyperperfusion syndrome［J］. J Cardiovasc Surg （Torino）， 2012， 53； 765 771.
［5］ 焦慧娟． 颈动脉支架成形术治疗缺血性脑血管病效果分析［J］． 中国实用神经疾病杂志， 2013， 16： 54 55．
［6］ Lieb M， Shah U， Hines GL. Cerebral hyperperfusion syndrome after carotid intervention； a review［J］. Cardiol Rev， 2012， 20； 84 89.

相似文献/References:

[1]李 鑫,王黎洲,李 兴,等.糖尿病患者颈动脉支架植入后认知功能与S-100 B蛋白水平探讨[J].介入放射学杂志,2015,(08):653.
　LI Xin,WANG Li- zhou,LI Xing,et al.Investigation of cognitive function and serum S- 100 B protein level in diabetic patients after receiving carotid artery stent implantation[J].journal interventional radiology,2015,(08):653.
[2]姚 晔,王 巍,李 琼,等.支架成形术治疗老年颈动脉狭窄效果及危险因素分析[J].介入放射学杂志,2016,(10):839.
　YAO Ye,WANG Wei,LI Qiong,et al.Stent angioplasty for carotid artery stenosis in the elderly： its curative effect and risk factor analysis[J].journal interventional radiology,2016,(08):839.
[3]王铭义,刘永晟,李 克,等.腔内治疗双侧颈动脉狭窄2例并文献复习[J].介入放射学杂志,2016,(12):1100.
　WANG Ming- yi,LIU Yong- sheng,LI Ke,et al.Endovascular treatment of bilateral carotid stenosis： report of 2 cases with literature review[J].journal interventional radiology,2016,(08):1100.
[4]王子亮,许岗勤,白卫星,等.颈动脉支架成形术后颅内出血临床分析[J].介入放射学杂志,2017,(12):1068.
　WANG Ziliang,XU Gangqin,BAI Weixing,et al.Intracranial hemorrhage secondary to carotid artery stenting angioplasty： clinical analysis [J].journal interventional radiology,2017,(08):1068.
[5]张成超,谷涌泉,齐立行,等.药物涂层球囊扩张成形术治疗颈动脉支架内再狭窄2例[J].介入放射学杂志,2019,28(02):159.
　ZHANG Chengchao,GU Yongquan,QI Lixing,et al.Drug- coated balloon dilatation for the treatment of carotid in- stent restenosis： initial results in 2 patients[J].journal interventional radiology,2019,28(08):159.
[6]潘文龙,赵 浩,王备备.颈动脉支架植入术患者的围术期护理[J].介入放射学杂志,2019,28(07):687.
　PAN Wenlong,ZHAO Hao,WANG Beibei..Perioperative nursing care for patients receiving carotid artery stent implantation： preliminary results in 97 patients[J].journal interventional radiology,2019,28(08):687.
[7]赵宛玉,杜敢琴,段佩养,等.颈动脉支架植入术对颈动脉狭窄患者认知功能影响的meta分析 [J].介入放射学杂志,2020,29(02):129.
　ZHAO Wanyu,Du Ganqin,DUAN Peiyang,et al.The effect of carotid artery stenting on the cognitive function of patients with carotid artery stenosis: a meta-analysis?[J].journal interventional radiology,2020,29(08):129.
[8]乐敏莉,向辉华,李 飞,等.颈动脉狭窄患者支架植入术后认知功能变化与微RNA-24的关系[J].介入放射学杂志,2021,30(04):393.
　LE Minli,XIANG Huihua,LI Fei,et al.The relationship between cognitive function changes and microRNA-24 in patients with carotid stenosis after stent implantation[J].journal interventional radiology,2021,30(08):393.
[9]王庆华,殷允娟,王 鹏,等.球囊扩张直径对症状性颈动脉重度狭窄患者颈动脉支架植入效果的影响[J].介入放射学杂志,2022,31(06):601.
　WANG Qinghua,YIN Yunjuan,WANG Peng,et al.The effect of balloon dilation diameter on the curative result of carotid artery stent implantation in patients with symptomatic severe carotid artery stenosis[J].journal interventional radiology,2022,31(08):601.
[10]梁广财,黄 珊,施 磊,等.颈动脉支架内再狭窄研究进展[J].介入放射学杂志,2023,32(04):396.
　LIANG Guangcai,HUANG Shan,SHI Lei,et al.Research progress in carotid artery in-stent restenosis[J].journal interventional radiology,2023,32(08):396.
[11]李 菁,韩冰莎,贺迎坤,等.重度颈动脉狭窄腔内支架植入术后认知功能临床研究[J].介入放射学杂志,2015,(11):943.
　LI Jing,HAN Bing- sha,HE Ying- kun,et al.Clinical study of the cognitive function after stent implantation for severe carotid stenosis[J].journal interventional radiology,2015,(08):943.

备注/Memo

备注/Memo:
（收稿日期：２０１4-０2-25）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2014-08-22