论文部分内容阅读
报告12例脑肿瘤超选择动脉化疗并发症患者,其中2例出现眼部刺激症状,6例出现神经功能障碍(1例引发脑梗塞),12例患者均出现头疼、恶心与呕吐。脑动脉选择插管由于微导管口位于眼动脉开口以上,故眼部刺激症状较颈内动脉灌注显著减少,微导管应用又易使导管插入脑动脉末梢支,反复插管引起机械刺激,从而使血管痉挛、闭塞而引发神经功能障碍,使其成为超选择动脉内插管最严重的并发症。并同时探讨了并发症的预防措施。
Twelve patients with complications of superselective arterial chemotherapy of brain tumors were reported, including 2 eyes with ocular irritation, 6 with neurological dysfunction (one with cerebral infarction) and 12 with headache, nausea and vomiting. Cerebral artery cannula due to the microcatheter port is located above the opening of the ophthalmic artery, ocular irritation symptoms than the internal carotid artery perfusion was significantly reduced, microcatheter and easy to catheter insertion of the cerebral artery peripheral branches, repeated intubation caused by mechanical stimulation, so that Vasospasm, occlusion and trigger neurological dysfunction, making it the most serious complications of superselective arterial cannulation. At the same time, the preventive measures of complications were discussed.