冠心病介入术后并发股动脉假性动脉瘤原因分析及护理

目的分析冠心病介入术后并发股动脉假性动脉瘤原因并制订护理对策。方法2001年1月～2004年6月对891例患者行冠心病介入术治疗。结果6例并发股动脉假性动脉瘤,发生率为0.67%,其中4例治愈,2例压迫无效需行外科手术修补。结论患者发生股动脉假性动脉瘤与介入术过程操作人员穿刺技术欠规范、术后压迫包扎不当、术前使用抗凝和抗血小板治疗、高血压病与肥胖症患者等因素有关,护理人员应根据假性动脉瘤发生的原因制订预防护理对策。

Objective To analyze the causes of femoral artery pseudoaneurysm after percutaneous coronary intervention and to establish preventive strategies. Methods Eight hundred and ninety one cases with percutaneous coronary intervention from January 2001 to June 2004 were observed. Results Six cases were complicated with femoral artery pseudoaneurysm. The incidence rate was 0.67%. Among these cases, 4 cases were cured and 2 cases had no effect after compression and needed operative repair. Conclusions The occurrence of femoral artery pseudoaneurysm was related to incorrect puncture, unsuitable compression bandage, anticoagulation and anti,platelet before operation, hypertension and adiposis. Nursing personnel should make prospective and preventive nursing strategies according to the causes of femoral artery pseudoaneurysm.[