活血化瘀注射液引发动脉支架植入术后穿刺点出血的护理体会  

作　　者：滕青[1] 侯红军[1] 刘鹏涛[1] 许祖闪[1] 

机构地区：[1]山东省威海市文登中心医院影像科,山东威海264400

出　　处：《中国农村卫生》2013年第04Z期285-286,共2页

摘　　要：目的探讨活血化瘀注射液对患者动脉支架植入术术后效果的影响方法将因动脉狭窄或主动脉病变行动脉支架植入术的患者分为两组，术前均常规用药拜阿司匹林、氢氯吡格雷、降脂等药物。术中用药肝素钠注射液。成功手术后，压迫穿刺点止血加压包扎，用低分子肝素、氢氯吡格雷、前列地尔注射液、拜阿司匹林等药物治疗。其中一组在手术前后均给予活血化瘀注射液，一组未给予。结果给予活血化瘀注射液组术后患者出现穿刺点出血不止，停用活血化瘀注射液后停止出血；继用后穿刺点又出血不止。结论活血化瘀注射液与动脉支架植入手术前后使用的其他药物间的相互作用可导致患者术后出现穿刺点出血的症状。Objective To study the effect of the Guhong injection on artery stenting. Methods Divide the patient with artery stenosis into two groups. Before operating the surgery, both of the two groups were given the regular medication-- Bayaspirin, clopidogrel, Lipid--lowering drugs. During the operation, heparin was used. After the success surgery, the puncture point was oppressed for hemostasis and low molecular heparin, al- prostadil injection, bayaspirin and clopidogrel was used as well. One group was administered Guhong injection while the other one was not. Results The puncture point came to bleed after the surgery in the guhong injection group. Disusing Guhong injectioin, then the bleeding stopped. And contin- uous hemorrhage happened after the reinjection. Conclusions： The interaction between Guhong injection and the other drugs used after the artery stenting surgery may lead to the hemorrhage in the puncture point.

关 键 词：动脉支架植入术 出血 活血化瘀注射液 

分 类 号：R47[医药卫生—护理学]