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目的:探讨置管溶栓治疗下肢深静脉血栓患者的安全及舒适护理,以提高护理质理。方法:在做好心理护理的前提下,使患者很好地接受腔静脉滤器置入联合导管溶栓的方法治疗。术后在舒适护理上着重指导患肢活动方法、适当止痛、采用保温式硫酸镁热湿敷等护理措施的落实,同时特别加强患者的溶栓导管、微量推注泵及溶栓抗凝用药等安全护理。结果:全组98例患者经导管溶栓治疗后,患肢症状均得到明显改善;全组患者均有不同程度的不适,其中有1例发生了意外拨管,有2例患者出现溶栓导管穿刺口渗血不止,经调整微泵尿激酶剂量及压迫止血后渗血停止。结论:置管溶栓治疗下肢深静脉血栓患者,经特别加强舒适及安全护理,可明显增加患者的舒适度,减少溶栓导管意外拨管、堵管及出血的风险。
Objective: To investigate the safety and comfort care of patients undergoing deep venous thrombosis with catheterization and thrombolysis in order to improve the nursing quality. Methods: In good psychological care under the premise of patients with well received the vena cava filter placed catheter thrombolytic therapy. After the operation in the comfort and care to focus on the activities of the limbs, appropriate analgesia, the use of thermal insulation magnesium sulfate heat wet compress and other nursing interventions, while particularly strengthening the patient’s thrombolytic catheter, micro-bolus pump and thrombolytic anticoagulant medication Safety and care. Results: All the 98 patients were treated with catheter thrombolysis, the limb symptoms were significantly improved; all patients had varying degrees of discomfort, including accidental dialysis in 1 case, 2 patients with thrombolytic catheter Piercing bleeding more than the micro-pump urokinase dose adjustment and bleeding stop bleeding after compression. Conclusion: The treatment of deep venous thrombosis in patients with lower limbs by catheter thrombolysis, with special emphasis on comfort and safety nursing, can significantly increase patient comfort and reduce the risk of thrombectomy catheter accidental dialysis, occlusion and bleeding.