经皮冠状动脉介入治疗术后股动脉出血的原因及护理

Nursing care and Cause Analysis of Postoperative Femoral Artery Hemorrhage of Interventional Therapy on PTCA

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。

Objective To evaluate the nursing care and cause of PCI postoperative hemorrhage complication. Methods Choose 320 PCI cases, to review and analyse the nursing care and cause of patients with femoral artery hemorrhage. Results ①hemorrhage cases（ 17 cases） occupies 5.3 percent of total cases. ②the average age of hemorrhage groups is eider than non-hemorrhage groups ,more female than male. ③cases received the nursing care without adverse event. Conclusion The 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 treat- ment to improve their results.