远端桡动脉止血器的设计与应用  

Design and application of distal radial artery hemostat

作　　者：李永亮 卫唯娅 钱丽萍 王晓丽 朱芳 任冬梅 Li Yongliang;Wei Weiya;Qian Liping;Wang Xiaoli;Zhu Fang;Ren Dongmei(Department of CCU,Shanghai Jiading District District Central Hospital,Shanghai 201800,China;Tongji University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海市嘉定区中心医院CCU,上海201800 [2]同济大学医学院,上海200092

出　　处：《中华危重病急救医学》2024年第2期208-210,共3页Chinese Critical Care Medicine

基　　金：国家实用新型专利(ZL 2021 2 2097829.6);上海市医学重点专科建设项目(ZK2019C03)。

摘　　要：经桡动脉路径是冠状动脉造影及经皮冠状动脉介入治疗的经典穿刺路径。随着介入手术数量的增加,也发现一些经桡动脉路径的弊端,其容易导致各类并发症,如桡动脉闭塞、桡神经损伤、桡动脉痉挛后穿刺困难等。因此,有专家提出了经远端桡动脉路径进行介入治疗,该途径具有定位方便、术后易止血、对近端桡动脉损伤少、可提高患者舒适度等优点。但目前临床上尚无专门的远端桡动脉止血器,一定程度上限制了该路径的发展。因此,上海市嘉定区中心医院心血管内科医生通过解剖学和物理学原理,设计并发明了一种远端桡动脉止血器,并获得了国家实用新型专利(专利号:ZL 2021 2 2097829.6)。该止血器由内面含有凸向皮肤的硅胶垫片的手套本体和束缚组件组成。患者手部套入手套本体内,经束缚组件固定后,硅胶垫片可对桡动脉穿刺点位置进行有效压迫,以较小的压力即可起到良好的止血效果,避免产生近端桡动脉止血时的常见并发症,降低患者不适感,具有良好的应用价值。Transradial approach is the classical access for coronary angiography and percutaneous coronary intervention(PCI).With the increase in the number of interventional procedures,some disadvantages of the transradial approach have also been found,it is easy to lead to various complications,such as radial artery occlusion,radial nerve injury,and puncture difficulties after radial artery spasm.Therefore,some experts put forward the approach of distal radial artery approach for interventional therapy,which has the advantages of convenient positioning,easy postoperative hemostasis,less damage to the proximal radial artery and improving patients'comfort.However,there is no special distal radial artery hemostat in clinic,which limits the development of this approach to a certain extent.Therefore,based on the principles of anatomy and physics,cardiovascular physician at Jiading District District Central Hospital in Shanghai designed and invented a distal radial artery hemostatic device,which is convenient for clinical hemostasis of distal radial artery puncture,and obtained the National Utility Model Patent(patent number:ZL 202122097829.6).The hemostatic device consists of a glove body with a silicone gasket protruding towards the skin on the inner surface and a binding component.The patient's hand is inserted into the glove body,and after being fixed by the restraint component,the silicone gasket can effectively compress the location of the radial artery puncture point,and play a good hemostatic effect with less pressure,avoid the common complications of proximal radial artery hemostatic,and reduce the discomfort of the patient.Has good application value.

关 键 词：远端桡动脉 鼻烟壶 桡动脉闭塞 

分 类 号：TH77[机械工程—仪器科学与技术]