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目的:探讨经皮冠状动脉介入术(PCI)后的股动脉迟发性血肿发生情况及血肿发生的原因、治疗方法。方法:对16例股动脉迟发性血肿的临床特征、血肿发生情况及治疗方法进行分析。结果:16例患者PCI术后30～80h患者大、小便或轻微用劲时,穿刺部位及其周围突然出现疼痛或原有疼痛突然加重伴有局部肿胀、大汗、恶心,严重时出现低血压等异常变化。15例患者通过限制肢体活动,局部绷带继续加压包扎24～48h,疼痛逐渐消失局部肿胀逐渐缩小;1例患者腹股沟下局部切开止血引流。结论:年龄偏大、糖尿病、高血压患者血压增高增加了术后迟发性血肿发生的可能性。穿刺针刺入动脉血管部位不当是造成介入迟发性血肿的重要因素。抗栓药物联合应用促使术后迟发性血肿的发生。限制肢体活动,局部绷带继续加压包扎24～48h是一个有效的治疗措施。如疗效欠佳可给予切开引流、止血等处理。
Objective: To investigate the occurrence of delayed hematoma of femoral artery after percutaneous coronary intervention (PCI) and the causes and treatment of hematoma. Methods: The clinical features, hematoma and treatment of delayed hematoma in 16 cases of femoral artery were analyzed. Results: In 16 patients, 30-80h after PCI, patients with large, urinary or mild pain, the puncture site and its surrounding sudden or sudden increase in pain accompanied by local swelling, sweating, nausea, severe hypotension Abnormal changes. Fifteen patients were restrained by physical activity, local bandage continued to pressure bandage 24 ~ 48h, the pain gradually disappeared gradually reduced local swelling; one case of partial groin hemostasis drainage. CONCLUSIONS: Older age, increased blood pressure in patients with diabetes mellitus and hypertension increase the possibility of postoperative delayed hematoma. Puncture needle into the wrong parts of the artery is an important factor in the intervention of delayed hematoma. Antithrombotic drugs combined to promote postoperative delayed hematoma occurred. Limit physical activity, local bandage continued pressure bandaging 24 ~ 48h is an effective treatment. Such as poor efficacy can be given incision and drainage, bleeding and other treatment.