经皮股动脉穿刺冠状动脉介入诊疗术后人工压迫止血早期下地活动的临床观察

Observation of early ambulation after diagnostic and interventional catheterizai ons through femoral approach

目的:观察经皮股动脉穿刺冠状动脉介入诊疗术后患者早期下地活动的可行性和安全性.方法:130例行冠状动脉介入诊断和治疗的患者在拔除6F动脉鞘管6 h后下地活动,观察其穿刺点并发症的发生.结果:130例141个穿刺部位中发生小血肿8处,皮下淤血8处,小渗血3处,发生腹膜后血肿1处,随访1～3 d,无严重出血并发症.结论:经皮股动脉穿刺冠状动脉介入诊疗术后6 h下地活动是可行和安全的,可以减少患者的不适和降低患者住院费用.

Objectlve：to evaluate the feasibility and safety of ambulation within 6 hours after diagnostic and interventional catheterizaions through femoral approach. Method： 130 cases were underwent cardiac catheterization with 6F arterial sheath, post-procedure bed rest within 6 hours is recommended. Bleeding complications were assessed at the time of initial ambulation and prior to the patients＇ discharge. Result： 130 cases had 141 puncture sites, among these sites, small hematoma occurred in 8 sites, bruise in 8 sites and small oozing in 3 sites, retroperitoneal bleeding in 1 site. no large hematomas, or need for blood transfusion occurred in any patients at 1 - 3 days followup. Conclusion：most patients who undergo percutaneous femoral cardiac catheterization with 6F arterial sheath may benefit form safe early ambulation.