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患者,女性,67岁。因冠心病、病窦综合征,反复晕厥,在安植永久性心脏起搏器前行保护性临时心脏起搏。常规操作,手术操作顺利,起搏成功。当拔出外鞘管固定电极导管时发现穿刺部位出血,给予局部压迫,出血不止,30分钟后以弹性止血带捆扎压迫,效果仍不佳。且患者烦燥不安,面色苍白,血压下降10.5/6kPa(78.8/42mmHg)。在穿刺部位作长约8厘米的纵形切口,发现导管内侧有一粗约0.2～0.3厘米小血管被横断,近心端血管搏动继续出血,迅速缝扎血管,出血停止。然后仔细探查该血管为股动脉所属小分支,横跨在股静脉上。
Patient, female, 67 years old. Due to coronary heart disease, sick sinus syndrome, recurrent syncope, in advance of permanent cardiac pacemaker protection of temporary cardiac pacing. Routine operation, surgical operation, pacing success. When pulled out of the sheath fixed electrode catheter puncture site bleeding was found to give local oppression, bleeding more than 30 minutes after the elastic tourniquet strapping oppression, the effect is still poor. And the patient was irritable, pale, blood pressure dropped 10.5 / 6kPa (78.8 / 42mmHg). In the puncture site to make a longitudinal incision about 8 cm, found inside the catheter has a small about 0.2 to 0.3 cm small blood vessels were transected, near the end of the heart beats blood vessels to continue bleeding, suture the blood vessels, bleeding stopped. The blood vessel was then carefully examined as a small branch of the femoral artery, straddling the femoral vein.