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经皮冠状动脉介入术后应用血管闭合器与人工压迫止血效果比较

A compartive study on the hemostatic effects by using Angio-Sealer versus mechanical compression in patients with coronary artery diseases following percutaneous coronary interventions

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【作者】 拓步雄李慧栾荣华王海昌郭文怡李成祥李伟杰秦涛

【Author】 TUO Bu-xiong~(1,2),LI Hui~(1,2),LUAN Rong-hua~1,WANG Hai-chang~1,GUO Wen-yi~1,LI Cheng-xiang~1,LI Wei-jie~1,QING Tao~1(1.Department of Cardiology,Xijing Hospital,Fourth Military Medical University,Xi′an,Shaanxi 710032;2.Department of Cardiology,451 Hospital of PLA,Xi′an,Shaanxn 710054,China)

【机构】 第四军医大学西京医院心内科解放军451医院心内科

【摘要】 目的:对比冠状动脉造影术(CAG)与冠脉介入治疗(PC I)术后,应用经皮血管闭合器(Angio-SealTM)与人工压迫止血对患者止血时间、制动时间及并发症的发生率,评价Angio-SealTM止血疗效及安全性,并对其操作要点进行归纳总结。方法:将接受CAG与PC I术的患者277例,分为Angio-SealTM组(107例)与人工压迫止血组(170例),观察两组患者止血时间、卧床及制动时间、并发症的发生率。结果:Angio-SealTM止血组与人工压迫止血组相比,止血时间、卧床及制动时间显著缩短,血管并发症明显降低。应用Angio-SealTM止血成功率97%。结论:Angio-SealTM止血明显优于人工压迫止血。

【Abstract】 AIM: To compare the effects of percutaneous angio-Sealer and thosr of hemostasis by compression in patients with coronary artery diseases following coronary angiography(CAG) and percutaneous coronary interventional(PCI), and to evaluate the efficiency and safety of percutaneous angio-Sealer method. METHODS: In 277 patients undergoing CAG and PCI operation,angio-Sealer was applied to 107 patients and the rest received conventional hemostasis by compression.The patients’ hemostasis-time,bed rest time,incidence of complications in the surrounding blood vessels were compared between two groups.RESULTS: Compared with hemostasis by compression group,the patients’ hemostasis time,bed-lying duration and complication incidence rate were significantly decreased in angio-Sealer group.The successful hemostasis rate in angio-Sealer group was 97%.CONCLUSION: Application of angio-Sealer following CAG and PCI operation significantly decreases hemostasis time,bed-rest time and incidence of complications.

  • 【会议录名称】 全国第九届心脏学会第十二届心功能学会《心脏杂志》编委会联合学术会议论文集
  • 【会议名称】全国第九届心脏学会第十二届心功能学会《心脏杂志》编委会联合学术会议
  • 【会议时间】2005-04-02
  • 【会议地点】中国云南昆明
  • 【分类号】R541.4
  • 【主办单位】心脏学学会与心功能学会
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