【摘 要】
：
目的 探讨无肝素冠脉造影的安全性及可行性.方法 选择单纯行冠脉造影的患者462例,分为无肝素组[桡动脉组(A1组)+股动脉组(A2组)]和肝素组[桡动脉组(B1组)+股动脉组(B2组)],分析两组患者APTT随时间的变化规律,并对所有患者的临床资料进行总结.结果 共收集患者462例,A1组92例,A2组152例,B1组87例,B2组131例.平均手术时间：A1组18.5±2.64min,A2组15
【出 处】
：
第五届钱江国际心血管病会议暨2011浙江省心血管病年会
论文部分内容阅读
目的 探讨无肝素冠脉造影的安全性及可行性.方法 选择单纯行冠脉造影的患者462例,分为无肝素组[桡动脉组(A1组)+股动脉组(A2组)]和肝素组[桡动脉组(B1组)+股动脉组(B2组)],分析两组患者APTT随时间的变化规律,并对所有患者的临床资料进行总结.结果 共收集患者462例,A1组92例,A2组152例,B1组87例,B2组131例.平均手术时间：A1组18.5±2.64min,A2组15.6±2.11min,B1组17.9±2.42min,B2组16.1±2.09min.A1组与B1组、A2组与B2组无统计学差异.压迫止血时间：A1组8.37±2.48min,B1组12.26±3.56 min,A2组11.05±3.07 min,B2组18.55±4.28 min,无论是桡动脉组还是股动脉组,肝素组压迫时间都要比无肝素组长(P＜0.001).APTT结果两组有统计学差异(术后即刻、术后24小时P值均＜0.001).肝素组血肿并发症与无肝素组相比有增多趋势,但无统计学差异.结论 无肝素冠脉造影缩短了术后压迫止血时间及患者卧床时间,节约了医疗资源,无血栓栓塞现象发生,临床安全可行.
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