经皮冠状动脉介入治疗术后股动脉出血原因及护理.docVIP

经皮冠状动脉介入治疗术后股动脉出血原因及护理【摘要】目的探讨经皮冠状动脉介入(PCI)术后出血并发症的原因及护理方法。方法回顾性分析行PCI的病例320例,分析股动脉出血者的发生原因及护理方法。结果①出血病例(17例)占全部病例的5.3%;②出血组平均年龄高于非出血组,女性多于男性;③本组病例经专科的精心护理均无不良后果。结论PCI术后出血的发生有患者自身的因素,也有手术操作过程及护理上的因素,处理措施和护理需个体化。规范而细致的护理工作可有效地减轻患者的痛苦、减少并发症的发生,从而保证了手术的成功,提高其治疗的效果。? 【关键词】 经皮冠状动脉;介入;股动脉;出血;护理 ?? Nursing care and Cause Analysis of Postoperative Femoral Artery Hemorrhage of Interventional Therapy on PTCA SUN Ying,CHEN Dong-xia.Liaocheng Second Peoples Hospital affiliated to Taishan Medical University,Linqing 252600,China ? 【Abstract】ObjectiveTo evaluate the nursing care and cause of PCI postoperative hemorrhage complication.MethodsChoose 320 PCI cases,to review and analyse the nursing care and cause of patients with femoral artery hemorrhage.Results①hemorrhage cases(17 cases)occupies 5.3 percent of total cases.②the average age of hemorrhage groups is elder than non-hemorrhage groups,more female than male.③cases received the nursing care without adverse event.ConclusionThe occurrence of PCI postoperative hemorrhage is due to factors of patients themselves,operative process and nursing care.Handling measure and nursing care need to be individualized.The comprehensive and meticulous care work can be an effective means for alleviating the suffering of patients and reduce the incidence of complications,thus ensuring the success of surgery,diagnosis and treatment to improve their results.? 【Key words】 Percutaneous coronary artery;Intervention;Femoral artery;Hemorrhage;Nursing ? 经皮冠状动脉内介入治疗(PCI)是一种有效的心血管疾病治疗方法,具有创伤小、安全、疗效肯定等优点。因个体的解剖和生理状态不同,如操作或器械选择不适,术中用药和止血方法不同以及护理不当,可导致局部动脉穿刺部位出血。本文回顾性分析了320例PCI术后出血并发症的发生原因及护理方法,现报告如下。? 1资料与方法? 1.1研究对象2006年1月至2009年6月,选择行PCI的患者320例作为研究对象,其中男222例,女98例,年龄37~82岁。有17例患者发生需再次手压止血的股动脉出血并发症,分别为男7例,女10例,年龄46~82岁。? 1.2方法PCI术前采集患者的基本信息及危险因素,包括年龄、性别、既往史、心血管危险因素及是否有股动脉穿刺史。其他因素尚有抗凝药的应用(包括阿斯匹林、氯吡格雷等)、导管型号及穿刺的难易程度。? 造影完成后记录患者的血压。全部患者采取手压止血法,即手压穿刺点上方约0.5~1.0 cm处止血15~20 min,采用压力绷带“8”字法,6~8块方形敷料叠加,上方置一普通布绷带卷于穿刺部位,用有弹