经皮股血管穿刺介入术后穿刺点止血策略的探讨  

Discussion of strategies to stop bleeding at the puncture site after percutaneous femoral vascular puncture intervention

作　　者：王晟 杨金铭 郑葳 孙淳 吴英锋 Wang Sheng;Yang Jinming;Zheng Wei;Sun Chun;Wu Yingfeng(Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,Luhe Hospital,Capital Medical University,Beijing 101199,China)

机构地区：[1]首都医科大学宣武医院血管外科,北京100053 [2]首都医科大学附属北京潞河医院血管外科,北京101199

出　　处：《血管与腔内血管外科杂志》2024年第5期562-568,共7页Journal of Vascular and Endovascular Surgery

基　　金：北京市自然科学基金(21Z30086)。

摘　　要：经皮股血管穿刺介入术后穿刺点止血策略的选择是预防介入术后并发症的重要因素,直接影响患者术后主观感受和治疗配合度,而目前国内尚无统一且科学的止血策略应用于临床。本文通过查阅国内外关于介入术后穿刺点止血策略的相关文献,对现阶段介入术后即时止血和持续止血方案进行综述,并分析围手术期影响并发症发生的相关因素,以期制定符合中国本土化特色和舒适化诊疗服务理念的介入术后穿刺点止血策略。The choice of hemostasis strategy at the puncture site after percutaneous femoral vascular puncture intervention is an important factor in preventing post-interventional complications and directly affects the subjective feeling of patients and their cooperation with treatment after the procedure,but there are no uniform and scientific hemostasis strategy used in clinical work in China.In this paper,we review the literature on post-interventional puncture site hemostasis strategies at home and abroad,review the current post-interventional immediate and continuous hemostasis protocols,and analyze the factors affecting the occurrence of complications during the perioperative period,with the aim of formulating a post-interventional puncture site hemostasis strategy that is consistent with the localized characteristics and comfort treatment service concept in China.

关 键 词：股动脉穿刺 股静脉穿刺 止血 下肢制动 卧床休息 血管闭合装置 

分 类 号：R543[医药卫生—心血管疾病]