目的

分析介入溶栓术后应用动脉压迫器压迫股动脉止血引起皮下血肿的原因。

方法

选择2009年1月—8月在我院行下肢股动脉穿刺置管行动脉溶栓术的32例患者作为研究对象。对溶栓术后应用动脉压迫器压迫股动脉穿刺点止血并引起皮下血肿的原因和结果进行观察和分析。

结果

32例患者术后应用动脉压迫器，常规压迫8.5 h后拆除动脉压迫器，未出现皮下血肿22例；因出凝血时间延长导致皮下血肿3例；因患肢活动导致压迫器位移，引起皮下血肿5例；穿刺点位置过高致使动脉压迫器固定欠妥，引起皮下血肿2例，所有患者长期随访并未出现功能及行走异常。

结论

动脉溶栓介入治疗患者术后发生穿刺点皮下血肿的预防，重要的是患者围术期护理及巡视观察。术前患者的入科宣教和专科知识指导。术后严密周到的观察及有针对性的护理是降低皮下血肿发生率的关键。

Objective

To analyze the causes of subcutaneous hematoma after using artery compression device for patients received an interventional procedure of arterial thrombolysis.

Methods

A total of 32 patients with subcutaneous hematoma were included into the analysis，who had used the artery compression device to compress the femoral artery puncture point after arterial thrombolysis from January 2009 to August 2009.

Results

All the 32 patients were treated with the artery compression device for routine 8.5 h after arterial thrombolysis.Twenty-two cases did not manifested subcutaneous hematoma，3 cases with subcutaneous hematoma were caused by the prolonged clotting time，5 cases with subcutaneous hematoma were caused by the unexpected movement of the affected limb，which therefore leading to a dislocation of the compression device，2 cases with subcutaneous hematoma were caused by the higher puncture position，which leading to an unstable fixing of the compression device.

Conclusions

To prevent the patients using the arterial compression device from subcutaneous hematoma after arterial thrombolysis，the most important is the nurses observe and nurse the patients during perioperative period.The pre-procedure education and professional direct，the post-procedure intensive and attentive observation and the targeted nursing can reduce the incidence of subcutaneous hematoma effectively.