Artificial joint replacement surgery of deep venous thrombosis early nursing intervention.docVIP

 PAGE \* MERGEFORMAT 11 Artificial joint replacement surgery of deep venous thrombosis early nursing intervention [Keywords:] deep vein thrombosis; nursing intervention Lower extremity deep venous thrombosis (deep venous thrombosis, DVT) is a total hip replacement (total hip arthroplasty, THA) or total knee replacement (total knee arthroplasty, TKA) a common complication after, the occurrence rate of about 40% ~ 60%, about 0.5% and 2.0% of patients with fatal pulmonary embolism (PE) [1]. DVT incidence of occult and the clinical diagnosis is difficult, in case of PE, the mortality rate is very high. our department in January 2003 - June 2007 THA and TKA patients were treated 139 cases, the occurrence of DVT 32 patients by early intervention, results were satisfactory. are as follows. 1 Clinical data 1.1 General information on the set of concurrent DVT 32 cases, including 12 males and 20 females, aged 65 to 78 years. 13 patients after total hip replacement, knee replacement surgery in 19 cases. 6 cases of diabetes, hypertension 11 cases of coronary heart disease in 17 cases, 6 cases of total hip revision surgery, the original history of venous surgery in 2 cases. postoperatively preventive anticoagulant therapy, and enhanced perioperative care and postoperative patients with DVT .32 time is 8 to 32 days, starting from the onset to treatment time for 4 ~ 48h. This group had limb pain, tenderness obvious skin color bruising, bleeding, skin temperature increased, prolonged capillary filling time, bilateral lower limb circumference difference between the corresponding plane 0.5cm above, by color Doppler ultrasound or angiography confirmed deep vein DVT, anticoagulant treatment given to the appropriate care, no case of pulmonary embolism. discharge followed up for 6 to 12 months, the non-invasive blood analyzer review, and no obvious clinical symptoms. 1.2 DVT diagnostic criteria [2] Local pain and discomfort, calf, thigh muscle tenderness, Homans sign