The patient was placed in a flat position, and the field was routinely disinfected and toweled. After local anesthesia, a longitudinal incision of 5 cm was made in the right groin in the body projection of the femoral artery, and the common femoral artery, superficial femoral artery and deep femoral artery were dissected out layer by layer, and no significant pulsation was seen in the femoral artery, which was free to the distal and proximal ends of the vessel. shaped. The proximal end ejected blood well after embolization. The superficial femoral artery was poorly hemorrhaged. A No. 4 embolization catheter was inserted into the superficial femoral artery about 70 cm, and a black-red thrombus-like material about 20 cm in length was removed, with good hemorrhage. After injecting 125,000 u urokinase and heparin saline into the distal segment of the superficial femoral artery, the vessel was closed with a 5-0 noninvasive vascular suture, and after releasing the blocking clamp, the femoral artery was seen to be boiling well, and 5%; sodium bicarbonate 125 ml was given intravenously as a static drip. The patient’s blood pressure and heart rhythm were still stable intraoperatively.
The gauze instruments were counted correctly and the incision was closed. The patient did not bleed much and returned to the ward after surgery.