经桡动脉穿刺冠脉介入术后发生上肢血肿的护理

目的探讨经桡动脉穿刺冠脉介入术后发生上肢血肿的原因及护理对策。方法回顾性总结和分析25例经桡动脉穿刺冠脉介入术后发生上肢血肿的原因和护理经验。结果25例发生上肢血肿的患者经治疗后，18例的局部红、肿、痛在5d内基本恢复正常；6例在7d后恢复正常；1例20d恢复正常。术后无1例出现骨筋膜室综合征或假性动脉瘤。结论抬高患肢、局部压迫、弹力绷带加压包扎和病情观察对预防和治疗经桡动脉穿刺冠脉介入术后发生上肢血肿具有重要意义。

Causes and nursing of hematoma in upper limbs after interventional therapy per radial artery and coronary artery

Objective To explore the causes of hematoma in upper limbs after interventional therapy per radial artery and coronary artery. Method Causes of hematoma in upper limbs of 25 patients after interventional therapy were retrospectively summarized and analyzed. Results After treatment, 18 out of 25 patients with hematoma in upper limbs were discharged from hospital 5 days later when local redness, swelling and pain returned to normal; 6 were discharged from hospital 7 days later; and 1 was discharged from hospital 20 days later. No osteofascial compartment syndrome or pseudoaneurysm occurred. Conclusion Careful observation and keeping suffered limbs in good condition through body posture changes, local pressing, pressure bandages and pressure dressing are important to prevent and treat hematoma after interventional therapy per radial artery and coronary artery