股静脉置管发生下肢深静脉血栓的集束干预-newcenturyscience.pdf

Global Journal of Advanced Nursing Practice，2014,Vol.1,No.1 /index.php/gjanp Bundles of care for the deep venous thrombosis of lower limbs during femoral vein intubation ZHU Xiu-mei, LI Qi Department of Neurosurgery, Nanjing Military Region General Hospital, Fuzhou, Fujian, China Received: Sep 08, 2014 Accepted: Sep 25, 2014 Published: Oct 17, 2014 DOI:10.14725/gjanp.v1n1.a776 URL:/10.14725/gjanp.v1n1.a776 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Femoral vein intubation is widely in clinical practice due to its simplicity of operator and easy to puncture. However, improper catheter puncture site can increase the risk of deep vein thrombosis. Pulmonary embolism may occur without timely treatment, which results in increased mortality, it will also increase the cost of treatment, and therefore the prevention of deep vein thrombosis is very important. The paper introduced the definition of deep venous thrombosis of lower limbs during femoral vein intubation, its causes, diagnoses and treatment. It also presented bundles of care for prevention of deep venous thrombosis. Key words Deep venous thrombosis of lower limbs; Femoral vein catheter; Bundles of care 股静脉置管发生下肢深静脉血栓的集束干预 朱秀梅，李 琦 南京军区福州总医院神经外科，福建福州，中国 通讯作者：朱秀梅，E-mail: fzzyysjwk@ 【摘要】股静脉置管术因其操作简单、易于穿刺而广泛应用于临床。置管穿刺部位不当可使深静脉血栓发生风险增加。如不 及时救治，甚至并发肺栓塞，导致死亡率增加, 其治疗费用也将增加，因此对深静脉血栓的预防非常重要。本文概述了股静 脉置管发生下肢深静脉血栓定义、原因、诊断及一般处理，同时介绍了如何采用预防深静脉血栓的集束干预策略及相关措施 来预防深静脉血栓的形成。 【关键词】下肢深静脉血栓；股静脉置管；集束干预 [1] 股静脉置管术因其操作简单、易于穿刺而广泛应用于临床 。穿刺处皮肤凹凸不平，导致穿刺点密闭 较差，股静脉血流慢，红细胞、血小板易发生聚集，形成血栓[2] [3] 。Geertsw 等 近期研究置管穿刺部位不当 可使深静脉血栓发生风险增至 6 倍