经桡动脉行冠状动脉介入诊疗术后桡动脉血栓形成的原因分析及护理对策.doc

精品论文 参考文献 经桡动脉行冠状动脉介入诊疗术后桡动脉血栓形成的原因分析及护理对策 （川北医学院附属医院川北医学院护理学院 四川 南充 637000） 　　【摘要】 目的：探讨经桡动脉入路行冠状动脉介入诊疗术后桡动脉血栓形成的原因及护理对策。方法：回顾分析2012年1月至2015年4月经桡动脉行冠状动脉造影和/或经皮冠状动脉内成形（PTCA）和冠状动脉内支架置入术(PCI)的病人1750 例术后并发桡动脉血栓的原因并总结其护理经验。结果：本组资料显示：经桡动脉行冠状动脉介入诊疗术穿刺成功1709例（98.00%），穿刺失败41例（0.23%），穿刺失败者改用肱动脉或股动脉入路手术成功；在住院期间并发桡动脉血栓的患者有17例,占0.01%，其血栓形成的原因与术后桡动脉痉挛、术后穿刺局部出血导致压迫时间的延长以及术前、术中肝素的用量和手术前后患者的血脂、血糖、血压的控制有密切的关系。结论：经桡动脉入路行冠状动脉诊疗术安全有效,桡动脉血栓形成极少。通过术前认真评估、术后及时观察恰当的护理，17例患者均好转出院。 　　【关键词】 桡动脉; 冠状动脉; 血栓形成; 原因; 护理对策 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】2095-1752（2016）29-0284-03 　　Analysis of causes for thrombosis formation post Coronary Artery Intervention by radial artery approach and nursing strategy 　　Yang ling, Chen xinrong,Peng lihan. 　　Affiliated Hospital of North Sichuan Medical College, Nursing College of North Sichuan Medical College, Nanchong, Sichuan 637000,China 　　【Abstract】 Objective To explore the cause of thrombosis formation post Coronary Artery Intervention by radial artery approach and nursing strategy. Methods The researcher did retrospective analysis of 1750 cases with radial artery thrombosis who received Coronary Artery Angiography or Percutaneous Coronary Intervention(PCI) by radial artery approach from January 2012 to April 2015. The researcher analyzed the reason on the formation of the radial artery thrombosis and the relative nursing strategy. Results The doctor succeed in doing 1709 cases(98.00%) of Coronary Artery Intervention by radial artery approach,but failed 41 cases(0.23%).And the latter after replaced radial artery approach by Brachial artery or Femoral artery approach were successful. Totally 17 cases developed with the radial artery thrombosis during their hospitalization and the incidence was around 0.01%. The following reasons had high relationship with the radial artery thrombosis formation. The first was radial artery spasm and puncture site local bleeding after coronary artery intervention which leaded prolong c