摘要
目的介绍作者处理心脏、大血管内医源性异物的经验。方法心脏、大血管异物２８例，其中异物位于胸主动脉５例、腔静脉５例、肺动脉７例、心腔内１１例，分别采用导管介入法及手术处理。结果１１例采用导管介入法取出，１６例手术取出，１例未取出，效果良好，无一例并发症。结论手术操作不当为异物遗留的主要原因，经皮取出血管内异物是首选的治疗方法，透Ｘ线的硅塑管异物可用二维超声监测，使手术时异物定位准确，手术创伤小、时间缩短，尤以导管介入法取出心脏、血管内透Ｘ线的塑料管，可在临床推广应用。
Objective To introduce the experience during the management of iatrogenic catheter fragments(i、c、f).Methods Twenty eight cases with i、c、f in hearts and great vessels,of which 5 cases of i、c、f were found in their aortae;5 in cava vena,7 in pulmonary arteries;11 in hearts,were treated in interventional or other surgical measares.Results 11 cases of i、c、f were removed in interventional method,16 in other surgical operation,1 failed.The patients ’ condition was good,no complications,followed.Conclusion On the basis of an analysis,it was mainly due to maloperation that i、c、f,remained,in hearts and great vessels.The method,i、e transpercutaneous removal of i、c、f from vessels,should be considered as the first choice for treatment.It is advisable to perform under montitoring of two dimensional ultrasound in order to attain an ideal operative situation:accurate orientation to i、c、f,minor operative wound,and short and easy performance.It is practicable to remove i、c、f from heart and great vessels in intevventional wetiod,so the method can be popularized clinically.
关键词
心脏
大血管
异物
介入法
heart
great vessels
iatrogenic catheter Fragments
