冠心病介入术后并发假性动脉瘤20例原因分析及护理

NURSING OF CORONARY ARTERY DISEASE COMBINED POSTOPERATIVE FALSE ANEURYSM:A REPORT OF 20 CASES

目的探讨冠心病介入术(percutaneous coronary intervention,PCI)术后并发股动脉假性动脉瘤的原因及护理,以减少PCI术后假性动脉瘤的发生率。方法回顾性分析2003年1月—2007年12月我科20例经PCI术后并发股动脉假性动脉瘤的临床资料。结果20例均治愈,其中14例徒手压迫,6例行超声引导下压迫,其中2例局部注射了少量凝血酶。结论PCI术后患者发生股动脉假性动脉瘤与术前使用抗凝和抗血小板药物、患者的依从性、不正确的穿刺、术后压迫包扎不当等有关,而对患者采取及时、准确、合理的护理措施,可减少假性动脉瘤的发生。

Objective To discuss the nursing and pathogenesis of complicated femoral pseudoaneurysm with percutaneous coronary intervention （PCI） and to reduce its incidence. Methods Retrospective analyze was done in 20 cases of femoral pseudoaneurysm with PCI from Jan 2003 to Dec 2007 in our department. Results All of 20 cases were healed. 14 cases were pressured with hand only. 6 others were pressured with ultrasonic guidance. 2 of which were injected with a little dose of thrombin locally. Conclusion The cause of femoral pseudoaneurysm with PCI is related to the use of anticoagulant and antiplatelet drugs before intervention, the compliance of patient, the incorrect puncture, and the improper pressure bandaging. The incidence of pseudoaneurysm can be reduced by rational, correct nursing in time.