Neviaser R J, Adams J P, May G I
J Bone Joint Surg Am. 1976 Mar;58(2):218-20.
Thirteen patients who were receiving heparin in therapeutic doses had complications after femoral or brachial arterial puncture as follows: hematomas resulting in skin slough or infection in two, neuropathies of the median nerve in two and of the femoral nerve in two, and ischemia of the forearm muscles in seven. Since arterial puncture to determine blood gases in patients anticoagulated for pulmonary emboli can be dangerous, alternate means to establish the diagnosis are recommended. Early recognition and treatment of complications are essential.
13名接受治疗剂量肝素治疗的患者在股动脉或肱动脉穿刺后出现了以下并发症：2例出现血肿导致皮肤脱落或感染，2例出现正中神经病变，2例出现股神经病变，7例出现前臂肌肉缺血。由于对因肺栓塞而接受抗凝治疗的患者进行动脉穿刺以测定血气可能存在危险，因此建议采用其他方法来确立诊断。对并发症的早期识别和治疗至关重要。
