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研究目的探讨小儿心导管术后股动脉血栓的发生因素及治疗方法。方法１９８７年１０月～１９９３年１２月，我院共完成左右心导管术及介入性治疗７０８例，发生股动脉血栓者２４例。对２４例股动脉血栓患儿的临床资料进行分析。探讨该病的易患因素。穿刺患侧股动脉直接推注尿激酶（ＵＫ）（１～３）万ｕ／次，然后采用Ｃｒｏｓｓ公司生产的血管穿刺保留管持续动脉滴注１２ｈ～２４ｈ进行治疗。结果心导管及介入性心脏术后股动脉血栓多发于年龄小于８岁、手术时间超过４ｈ的患儿．静脉溶栓疗组１０例，显效５例，有效４例，无效１例，总有效率为９０％。动脉溶栓治疗组１４例，显效１３例，有效１例，总有效率为１００％。结论心导管及介入性心脏术后股动脉血栓多发于年龄较小，手术时间较长的患儿，动脉与静脉溶栓治疗均有显著效果，动脉溶栓治疗效果更佳。
Objective To investigate the causes and treatment of femoral artery thrombosis after pediatric cardiac catheterization. Methods From October 1987 to December 1993, 708 cases of left and right cardiac catheterization and interventional procedures were performed in our hospital, and 24 cases of femoral artery thrombosis occurred. The clinical data of 24 children with femoral artery thrombosis were analyzed. Explore the risk factors for the disease. Puncture the ipsilateral femoral artery directly with urokinase (UK) (1 ~ 3) 10000 u / time, and then use the company’s cross-tube retention catheter continuous intra-arterial infusion 12h ~ 24h treatment. Results Cardiac catheterization and femoral artery thrombosis after interventional cardiology were more common in children younger than 8 years and surgeries of more than 4 hours. Intravenous thrombolysis group of 10 cases, 5 cases markedly effective in 4 cases, 1 case of ineffective, the total effective rate was 90%. Arterial thrombolysis group of 14 patients, markedly effective in 13 cases, effective in 1 case, the total effective rate was 100%. Conclusion Cardiac catheterization and interventional cardiopulmonary thrombosis are more common in younger patients and longer operation time. Both arterial and venous thrombolysis have significant effects and arterial thrombolysis is more effective.