经皮冠状动脉介入治疗相关血管并发症的护理进展  

Research progress on nursing management of vascular complications in percutaneous coronary intervention

作　　者：尹莹杰 YIN Yingjie(Department of Cardiology, Tongji Hospital of Tongji University, Shanghai, 20006)

机构地区：[1]同济大学附属同济医院上海市同济医院心内科,上海200065

出　　处：《中西医结合护理（中英文）》2018年第4期190-194,共5页Journal of Clinical Nursing in Practice

摘　　要：近年来,经皮冠状动脉介入治疗(PCI)迅速发展并日益成熟,手术器械和医生操作技术都得到长足的进步,相关的护理方法也随之改进,所以手术相关血管并发症发生率也大为减少。本文通过对冠脉介入手术的不同动脉路径选择的血管差异,分析不同部位血管伤口并发症的发生原因、影响因素的异同。从伤口压迫的方法、压迫的时间、肢体制动的时间、拔除鞘管时间、发生并发症后的处理等方面护理的研究,对PCI相关血管并发症的护理进行综述。There has been a boomin recent years in the development of percutaneous coronary intervention（ PCI）,as well as related surgical instruments and techniques. This fast development in surgical technique and related nursing measures during the operative period leads to decreased incidence of vascular complications. This paper,in terms of different artery access for PCI,aimed to analyze the potential causes and influential facto rs of vascular complications in different areas.This paper alsoreviewed nursing interventions on vascular complications,including hemostasis by compression,onset time of compression and limb immobilization,catheter sheath retraction,and management of posto perative complications.

关 键 词：经皮冠状动脉介入治疗 血管并发症 护理研究 动脉路径 肢体制动 压迫止血 

分 类 号：R473.5[医药卫生—护理学]