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題 名 | Iatrogenic Vascular Injuries=醫創性血管傷害 |
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作 者 | 黃正雄; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 24:1 民80.01-02 |
頁 次 | 頁538-544 |
分類號 | 416.26 |
關鍵詞 | 醫創性血管傷害; |
語 文 | 英文(English) |
中文摘要 | 臺北榮民總醫院自民國七十一年至七十八年,八年之中共有二十五個病人發生二十七個醫創性血管傷害。其中十八個病人(72%)罹患有心臟血管疾病。心導管是最常引起醫創性血管傷害的操作,血管內視鏡及雷射血管成形術是最新引用於治療血管疾病之利器,有一位病人因其操作發生深股動脈穿透。股動脈及臂動脈是最常受傷害的部位,有二十一個病人(84%)需要外科治療,二十五個病人中有兩個做截肢手術,有四個死亡病例,但都非由於血管傷害引起,操作或手術後之理學檢查對醫創性血管傷害之即早發現十分重要,即早發現,迅速治療可以減少永久性殘障發生,而穫致良好的結果。 |
英文摘要 | Twenty-five iatrogenic vascular injuries are reviewed during an 8-year period. Eighteen patients (72%) suffered from cardiovascular diseases. Cardiac catheterization was the procedure causing most ofthe complications (52%). One perforation of femoral profundal artery during laser angioplasty was noted. Femoral and brachial arteries were most frequently injured. Some risk factors could be identified in seven patients (28%). Twenty-one (84%) patients required surgical management. Two limb loss were noted. Mortality occurred in four cases, but none was related to the vascular complication or its correction. A post-procedure physical examination is important for the early detection of iatrogenic vascular injury, especially in patients with risk factors. An excellent outcome is uniformly obtained if the complication is early recognized and promptly corrected. |
本系統中英文摘要資訊取自各篇刊載內容。