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目的探讨经挠动脉行冠状动脉介入治疗术后非穿刺点血肿发生的原因及护理。方法收集2015年2月~2016年12月在本院进行经挠动脉行冠状动脉介入治疗术患者273例的病例资料。分析其非穿刺点血肿发生情况,并分析其发生的原因及护理方法。结果 273例患者中发生非穿刺点血肿4例,发生率为1.47%。经及时处理及护理均恢复良好。结论经挠动脉行冠状动脉介入术非穿刺点血肿的发生和患者紧张情绪、性别(女性)、年龄(老年人)及护理等均有密切关系;对于非穿刺点血肿的重点在于预防,加强围术期护理,术前术后密切观察,做到早发现、及时处理,绝大多数患者则恢复良好。
Objective To investigate the causes and nursing of non-puncture hematoma after percutaneous transluminal coronary angioplasty (PCI). Methods A total of 273 cases of patients undergoing PCI underwent coronary artery intervention in our hospital from February 2015 to December 2016 were collected. Analysis of non-puncture point hematoma occurred, and analyze the causes and nursing methods. Results In 273 cases, 4 cases of non-puncture point hematoma occurred, the incidence was 1.47%. After prompt treatment and nursing are recovering. Conclusions The occurrence of non-puncture point hematoma by percutaneous transluminal coronary angioplasty is closely related to the patient’s nervousness, gender (female), age (elderly), nursing and so on. The focus of non-puncture point hematoma is to prevent and strengthen Preoperative care, close observation before and after surgery, so early detection and timely treatment, the vast majority of patients recovered well.