1 case of large area burn complicated by deep vein thrombosis patient care.docVIP

 PAGE \* MERGEFORMAT 5 1 case of large area burn complicated by deep vein thrombosis patient care [Keywords:] burns, deep vein thrombosis Patients with extensive burn care bed for a long time because the pain limits activity, slow blood flow, shock of serious dehydration, blood concentration, increased blood viscosity, repeated venipuncture and other factors complicated by deep vein thrombosis (DVT). DVT if treatment and care properly, vital organs may cause serious consequences of thrombosis. our department has treated one case of severe burn patients, 75 d after emergence into Branch left lower extremity DVT, now nursing are described below. A case report Male patients, aged 32, for “multiple steel body burns,” admitted. Admission diagnosis: burns (71%). Which 22% of grade shallow, deep 15%, degree of 34%, moderate inhalation injury . admission to rehydration, anti-shock, anti-infection, nutritional support, symptomatic treatment, parallel tracheotomy. through the shock of turning over beds underwent treatment, after numerous Crust, debridement, skin graft surgery, most patients with wound healing, a few scattered remnants of the wound. 75 d after injury in patients of left groin pain, swelling, tenderness, swelling of the left lower limb, circumference increase compared with the contralateral leg 7 cm, left lower limb skin temperature increased, activity is limited. Color Doppler ultrasound: left lower external iliac vein, femoral vein, superficial femoral vein, deep femoral vein and vein thrombosis. platelets 530 109 / L, prothrombin time 7 s, activated partial thromboplastin time 25 s, showed that the blood is hypercoagulable state. verdict, the contralateral limb in patients after intravenous infusion of dextran 40 and urokinase, oral antiplatelet agents and warfarin, aspirin, etc., while strengthening the anti-infective therapy. Limb elevation 30 , the local to the infrared light irradiation, moist heat of 33% magnesium sulfate, etc.,