目的探讨分析颈动脉支架置入术后患者的并发症发生情况以及处理方法。方法选取51例颈动脉支架置入治疗的颈动脉狭窄患者,观察术后患者的并发症特点,并且采取具有针对性的处理措施。结果手术中置入的支架数目不同对并发症的发生率无显著的影响,差异无统计学意义(P>0.05),患者术后发生并发症13例,出现血压下降3例(1例术中出现,2例>24 h),占5.88%,出现心动过缓7例(4例术中出现,3例>24 h,其中1例出现晕厥发作),占13.73%,出现心动过速1例,占1.96%,出现高灌注综合征1例,占1.96%,出现脑血栓1例,占1.96%。采取相应的治疗处理措施后,患者均得以治愈,未造成严重的危害。结论颈动脉支架置入术患者出现的并发症主要有迷走反射(血压下降和心动过缓)、高灌注综合征、血栓形成等,手术中置入的支架数目不同对并发症的发生率无显著的影响,采用具有针对性的防治措施,可以预防和降低并发症发生。 Objective To investigate the complication and treatment of patients after carotid stenting. Methods Fifty-one patients with carotid artery stenosis underwent carotid stenting were enrolled in this study. Complications of the patients were observed and targeted treatments were taken. Results There was no significant difference in the incidence of complications between the two groups (P> 0.05). There were 13 cases of postoperative complications and 3 cases of decreased blood pressure (1 case intraoperatively Occurred in 2 cases> 24 h), accounting for 5.88%, 7 cases had bradycardia (4 cases occurred in operation, 3 cases> 24 h, 1 case had syncope), accounting for 13.73%. One case had tachycardia , Accounting for 1.96%, 1 case of high perfusion syndrome, accounting for 1.96%, cerebral thrombosis occurred in 1 case, accounting for 1.96%. After taking the appropriate treatment and treatment measures, the patients were cured without serious harm. Conclusions The main complications of carotid artery stenting are vagal reflex (hypotension and bradycardia), hyperperfusion syndrome and thrombosis. The different numbers of stents inserted in the procedure have no significant effect on the complication rate The impact of the use of targeted prevention and treatment measures can prevent and reduce the incidence of complications.