股动脉穿刺术后并发假性动脉瘤相关危险因素分析及护理

目的：讨论经股动脉穿刺行介入手术后并发假性动脉瘤的相关危险因素及护理.方法：对2013年1月至2013年12月经股动脉穿刺行介入手术的204例患者进行围手术期的观察及护理,探讨发生假性动脉瘤的相关因素和护理措施.结果：204例患者中有2例在术后72 h出现假性动脉瘤.在超声定位下,徒手压迫交通口处1h后,动脉压迫器加压包扎穿刺点24～72 h后复查超声,交通口闭合,假性动脉瘤痊愈.结论：经股动脉穿刺行介入手术后并发假性动脉瘤主要与术后制动不佳、肥胖和疾病因素等有关,对介入患者围手术期实施有效的护理,预防假性动脉瘤的发生,提高护理质量,促进患者早日康复.

Analysis of Risk Factors and Treatments on Concurrent Pseudo-aneurysm after Femoral Artery Puncture

Objective： To discuss the related risk factors and nurse experience of concurrent pseudo-aneurysm after femoral artery puncture. Methods： The 204 femoral artery punctures interventional surgery during the surgery period was observed and nursed and relevant factors for pseudo-aneurysm and care measures was investigated. Results ： Two of 204 patients appeared pseudo-aneurysm at 72 hours after surgery. Under ultrasoutad, after the communication hole was pressed manually 1 hour, and after the artery compres- sion device bandaged puncture site 24 -72 hours, the ultrasound should be reviewed, and the communication hole was closed and pseudo-aneurysm healed. Conclusions ： Concurrent pseudo-aneurysm, mainly related to the poor braking after surgery, obesity and disease etc. after the femoral artery puncture surgical intervention, is And effective care of the patients during the surgery is taken to prevent the occurrence of pseudo-aneurysm, to improve quality of care, and to promote early recovery of patients.