AngioJet机械血栓清除术后血红蛋白尿的原因分析

发布时间：2018-03-21 03:28

本文选题：血栓　切入点：血红蛋白尿　出处：《中国介入影像与治疗学》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨采用AngioJet进行机械血栓清除术后出现血红蛋白尿的原因及影响因素。方法回顾性分析接受AngioJet机械血栓清除术16例患者的临床资料,术后出现肉眼血红蛋白尿的患者为A组(n=9),余未出现血红蛋白尿的患者为B组(n=7),比较两组患者手术操作方式、术中抽吸时间、血栓负荷量的差异。结果 16例研究对象中9例出现血红蛋白尿,发生率为56.25%(9/16)。A组与B组手术方式(χ~2=1.667,P=0.197)、术中抽吸时间[(320.11±108.80)s vs(265.29±31.46)s,t=0.741,P=0.457]、血栓负荷量(χ~2=0.442,P=0.506)差异均无统计学意义。所有病例均无肾功能损害出现。结论 AngioJet机械血栓清除术后出现血红蛋白尿由多种因素所致,术中采用合理的抽吸方式、控制抽吸时间、围手术期积极对症处理,可降低血红蛋白尿的发生。
[Abstract]:Objective to investigate the causes and influencing factors of hemoglobinuria after mechanical thrombus removal with AngioJet. Methods the clinical data of 16 patients undergoing AngioJet mechanical thrombus removal were retrospectively analyzed. Postoperative hemoglobinuria was found in group A (group A) and group B (group B). The operative methods and the time of aspiration were compared between the two groups. Results hemoglobinuria was found in 9 out of 16 subjects. The incidence rate was 56.25%, and there was no significant difference between group A and group B. there was no significant difference between group A and group B. there was no impairment of renal function in all cases. Conclusion hemoglobin was found in all patients after AngioJet mechanical thrombus removal (320.11 卤108.80 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤31.46 vs(265.29 卤0.506). There was no significant difference between the two groups (蠂 ~ 20.442P ~ (0.506)). There was no significant difference between the two groups. Urine is caused by many factors, Reasonable suction method, control of suction time and positive treatment during perioperative period can reduce the incidence of hemoglobinuria.
【作者单位】：滨州医学院附属医院介入血管外科;滨州医学院附属医院消化内科;
【分类号】：R696.2

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