目的 探讨股动脉穿刺置管术后快速手法压迫止血的止血效果及并发症.方法 总结了一套快速手法压迫止血的方法(平均止血时间约2 min),并对324例行介入股动脉穿刺置管患者术后立即进行快速手法压迫止血,术后1 d对患者穿刺点周围的皮肤观察并行相应的触诊检查.结果 324例经股动脉穿刺置管介入术后患者均用了快速手法压迫止血,其中4例患者穿刺点周围皮下片状淤青,余患者穿刺点周围未见明显淤青,其有效止血率高达98.8%(320/324).320例患者中6例患者穿刺点周围出现局部皮肤轻度压伤,未予处理1周后均自行修复.结论 股动脉穿刺置管介入诊疗术后快速手法压迫止血是一种省时、省力、安全、经济、可重复、环保、实用的止血方法.%Objective To discuss the hemostasis effect of rapid manual compression performed immediately after the catheterization through femoral artery, and to analyze its complications. Methods Based on the author's experience obtained from dozens of years' practice in interventional field, the author summarized an effective hemostasis technique, which was performed through rapid manual compression on the pun cturing point. The mean compression time with hand was only about two minutes. This manipulation procedure for hemostasis had been carried out in 324 patients immediately after the catheterization through femoral artery was finished. One day after the catheterization, observation of the skin around the puncture point and palpation of the puncturing site were conducted. Results Rapid manual compression hemostasis was successfully carried out in all 324 patients, of whom subcutaneous ecchymosis around the puncture site was seen in only four. The effective hemostasis rate was 98.8% (320/324). In another six patients mild skin injury due to compression around the puncture site was observed, which, without any medication, recovered spontaneously in one week. Conclusion For the hemostasis of femoral puncturing point after catheterization, manual compression method employed immediately after the interventional procedure is finished is a time -saving, labour - saving, safe, economical, repeatable, environment - protecting and practical hemostatic technique.
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