经桡动脉介入诊疗患者术肢并发症预防及护理专家共识  

Expert consensus on prevention and nursing of surgical limb complications in patients undergoing transradial artery puncture intervention

作　　者：中国心血管健康联盟心血管病护理及技术培训中心专家委员会 国际血管联盟中国分部护理专业委员会 李高叶 周云英[3] 赵文利[4] 刘华芬[5] 温红梅 陈务贤 许秀芳[7] Expert Committee of Cardiovascular Care and Technical Training Center of China Cardiovascular Health Alliance;Nursing Professional Committee,China Branch of International Vascular Alliance;ZHOU Yunying(不详;Jiangxi Provincial People's Hospital/First Affiliated Hospital of Nanchang Medical College of China)

机构地区：[1]不详 [2]广西医科大学第一附属医院 [3]江西省人民医院/南昌医学院第一附属医院 [4]河南省人民医院 [5]武汉大学人民医院 [6]厦门大学附属心血管病医院 [7]《介入放射学杂志》编辑部

出　　处：《介入放射学杂志》2024年第5期465-471,共7页Journal of Interventional Radiology

摘　　要：经桡动脉穿刺入路行介入诊疗术可减少入路部位并发症,但仍可导致患者术肢出现并发症,如桡动脉痉挛、桡动脉穿孔、出血血肿、桡动脉夹层、骨筋膜室综合征、神经损伤、假性动脉瘤、动静脉瘘及桡动脉闭塞,其中桡动脉痉挛最为常见。目前针对术肢并发症识别、预防及处理的认识尚不足。本共识从介入诊疗经桡动脉穿刺入路九大类术肢主要并发症的识别、预防及护理等方面进行初步阐述,推出24条推荐意见,可为医疗机构开展术肢并发症护理提供参考,减少患者并发症发生。Transradial access(TRA)for performing interventional diagnosis and treatment can reduce access site complications.However,TRA can still cause complications in the operated limb,including radial artery spasm,radial artery perforation,hemorrhage,hematoma,radial artery dissection,osteofascial compartment syndrome,nerve injury,pseudoaneurysm,arteriovenous fistula,and radial artery occlusion,among which radial artery spasm is the most commonly seen.At present,the clinical recognition,prevention and treatment of complications of surgical limbs are still insufficient.Therefore,this consensus aims to make a detailed introduction about the identification,prevention and nursing of nine major types of complications of the surgical limb in interventional diagnosis and treatment procedures via radial artery access,to propose 24 recommendations which may provide a reference for medical institutions in carrying out the nursing care for complications of the surgical limb in interventional diagnosis and treatment procedures via radial artery access,and to reduce the occurrence of complications in patients.

关 键 词：桡动脉 介入诊疗 并发症 护理 专家共识 

分 类 号：R473.5[医药卫生—护理学]