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目的:评价无肝素化经股动脉心血管造影的安全性及其减少穿刺并发症的有效性。方法:300例患者接受经股动脉冠状动脉造影检查,随机分为两组(无肝素组150例,肝素组150例),分别记录造影术后穿刺部位巨大血肿、动静脉瘘、腹膜后血肿、假性动脉瘤、迷走反射、血管栓塞等并发症。结果:所有患者均成功插管,拔管后两组均无栓塞并发症,而肝素组穿刺部位并发症显著增高(P<0.05)。结论:无肝素造影安全可靠,不会增加栓塞并发症,同时可显著减少穿刺部位并发症。
PURPOSE: To evaluate the safety of nonheparinized femoral artery angiography and its effectiveness in reducing the complications of puncture. Methods: Three hundred patients underwent coronary angiography of the femoral artery and were randomly divided into two groups (150 in the non-heparin group and 150 in the heparin group). The hematoma, arteriovenous fistula, retroperitoneal hematoma, Pseudoaneurysm, vagal reflex, vascular embolism and other complications. Results: All patients were successfully intubated. No embolic complications occurred in both groups after extubation, while complications in heparin group were significantly higher at the puncture site (P <0.05). Conclusion: Heparin-free angiography is safe and reliable, does not increase the embolic complications, and can significantly reduce the complications of the puncture site.